{"id":824,"date":"2017-12-07T11:05:22","date_gmt":"2017-12-07T16:05:22","guid":{"rendered":"https:\/\/mytwoelaines.com\/?page_id=824"},"modified":"2022-06-05T21:36:31","modified_gmt":"2022-06-06T01:36:31","slug":"state-organizations-events","status":"publish","type":"page","link":"https:\/\/mytwoelaines.com\/index.php\/state-organizations-events\/","title":{"rendered":"Out-of-State Organizations &#038; Events"},"content":{"rendered":"<p>Thank you for your interest in having former Wisconsin Gov. Martin J. Schreiber, author of My Two Elaines: Learning, Coping, and Surviving as an Alzheimer\u2019s Caregiver, at your event.<\/p>\n<p>In an effort to reach as many caregivers as possible, Marty does not charge a speaker\u2019s fee \/ honorarium*. Please note: Net proceeds from the sale of My Two Elaines are used to promote Alzheimer\u2019s caregiver support.<\/p>\n<p>* Airfare or mileage from Milwaukee, Wis., at the current federal rate, and actual costs of lodging and meals are requested.<\/p>\n<p>We plan 3 months or more in advance, so submit your form early. We try to honor as many requests as time allows. You may expect a response within two weeks.<\/p>\n<ul>\n<li>Please give thoughtful consideration to the following:<\/li>\n<li>We ask you to accept responsibility for marketing, publicizing, and registration for this event. We\u2019ll provide you some tips for getting attention from the news media.<\/li>\n<li>Airfare or mileage at the current federal rate, and actual costs of lodging and meals are requested.<\/li>\n<\/ul>\n<p>If you have questions about these guidelines, please use the Additional Information \/ Comments section at the end of this form.<\/p>\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-1120\"><form id=\"wpforms-form-1120\" class=\"wpforms-validate wpforms-form\" data-formid=\"1120\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/824\" data-token=\"32ab8a3ee7dd92d43c95dd121f97300e\" data-token-time=\"1792758467\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1120-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1120-field_3\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1120-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-1120-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-1120-field_9\">Company\/Organization Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1120-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><div id=\"wpforms-1120-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-1120-field_10\">Company\/Organization Website <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1120-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required><\/div><div id=\"wpforms-1120-field_4-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-1120-field_4\">Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-1120-field_4\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][4]\" aria-label=\"Phone\" required><\/div><div id=\"wpforms-1120-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-1120-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1120-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-1120-field_11-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"11\"><label class=\"wpforms-field-label\">Requested Date \/ Time - First Choice<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-date-type-datepicker\"><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1120-field_11\" class=\"wpforms-field-date-time-date wpforms-datepicker\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][11][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><label for=\"wpforms-1120-field_11\" class=\"wpforms-field-sublabel after\">Date<\/label><\/div><div class=\"wpforms-field-row-block\"><input type=\"text\" id=\"wpforms-1120-field_11-time\" class=\"wpforms-field-date-time-time wpforms-timepicker\" data-time-format=\"g:i A\" data-step=\"30\" data-rule-time12h=\"true\" name=\"wpforms[fields][11][time]\" ><label for=\"wpforms-1120-field_11-time\" class=\"wpforms-field-sublabel after\">Time<\/label><\/div><\/div><\/div><div id=\"wpforms-1120-field_12-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"12\"><label class=\"wpforms-field-label\">Requested Date \/ Time - Second Choice<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-date-type-datepicker\"><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1120-field_12\" class=\"wpforms-field-date-time-date wpforms-datepicker\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][12][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><label for=\"wpforms-1120-field_12\" class=\"wpforms-field-sublabel after\">Date<\/label><\/div><div class=\"wpforms-field-row-block\"><input type=\"text\" id=\"wpforms-1120-field_12-time\" class=\"wpforms-field-date-time-time wpforms-timepicker\" data-time-format=\"g:i A\" data-step=\"30\" data-rule-time12h=\"true\" name=\"wpforms[fields][12][time]\" ><label for=\"wpforms-1120-field_12-time\" class=\"wpforms-field-sublabel after\">Time<\/label><\/div><\/div><\/div><div id=\"wpforms-1120-field_13-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"13\"><label class=\"wpforms-field-label\">Requested Date \/ Time - Third Choice<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-date-type-datepicker\"><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1120-field_13\" class=\"wpforms-field-date-time-date wpforms-datepicker\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][13][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><label for=\"wpforms-1120-field_13\" class=\"wpforms-field-sublabel after\">Date<\/label><\/div><div class=\"wpforms-field-row-block\"><input type=\"text\" id=\"wpforms-1120-field_13-time\" class=\"wpforms-field-date-time-time wpforms-timepicker\" data-time-format=\"g:i A\" data-step=\"30\" data-rule-time12h=\"true\" name=\"wpforms[fields][13][time]\" ><label for=\"wpforms-1120-field_13-time\" class=\"wpforms-field-sublabel after\">Time<\/label><\/div><\/div><\/div><div id=\"wpforms-1120-field_16-container\" class=\"wpforms-field wpforms-field-address\" data-field-type=\"address\" data-field-id=\"16\"><label class=\"wpforms-field-label\">Address of Speaking Engagement (must be ADA accessible) <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-1120-field_16\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][16][address1]\" required><label for=\"wpforms-1120-field_16\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-1120-field_16-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][16][address2]\" ><label for=\"wpforms-1120-field_16-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1120-field_16-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][16][city]\" required><label for=\"wpforms-1120-field_16-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-1120-field_16-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][16][state]\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select state ---<\/option><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-1120-field_16-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1120-field_16-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][16][postal]\" required><label for=\"wpforms-1120-field_16-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/div><div id=\"wpforms-1120-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-1120-field_17\">Meeting Room Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1120-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" required><\/div><div id=\"wpforms-1120-field_18-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"18\"><label class=\"wpforms-field-label\">Audience Profile (Check All That Apply) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1120-field_18\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1120-field_18_1\" name=\"wpforms[fields][18][]\" value=\"Administrative Professional\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1120-field_18_1\">Administrative Professional<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1120-field_18_2\" name=\"wpforms[fields][18][]\" value=\"Health Care Providers Family Caregivers\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1120-field_18_2\">Health Care Providers Family Caregivers<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-1120-field_18_3\" name=\"wpforms[fields][18][]\" value=\"Students\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1120-field_18_3\">Students<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-1120-field_18_4\" name=\"wpforms[fields][18][]\" value=\"Other\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1120-field_18_4\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-1120-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-1120-field_19\">Number of Anticipated Attendance <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1120-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" required><\/div><div id=\"wpforms-1120-field_20-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-1120-field_20\">Additional Information\/Comments<\/label><textarea id=\"wpforms-1120-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" ><\/textarea><\/div><div id=\"wpforms-1120-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-1120-field_2\">How will you promote this event? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1120-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/textarea><div class=\"wpforms-field-description\">Provide details about any and all media you plan to use (print, TV, radio, public relations \u2013 agency or in-house, paid advertising, flyers or brochures, direct mail, community newsletter, signs, social media such as Facebook, Twitter, Instagram, etc.). If we accept your invitation, we will provide you a sample media release and a timeline you should use in promoting the event.<\/div><\/div><div id=\"wpforms-1120-field_5-container\" class=\"wpforms-field wpforms-field-gdpr-checkbox\" data-field-type=\"gdpr-checkbox\" data-field-id=\"5\"><label class=\"wpforms-field-label\">GDPR Agreement <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1120-field_5\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-1120-field_5_1\" name=\"wpforms[fields][5][]\" value=\"I consent to having this website store my submitted information so they can respond to my inquiry.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1120-field_5_1\">I consent to having this website store my submitted information so they can respond to my inquiry.<\/label><\/li><\/ul><\/div><div id=\"wpforms-1120-field_6-container\" class=\"wpforms-field wpforms-field-captcha\" data-field-type=\"captcha\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-1120-field_6\">Captcha <span class=\"wpforms-required-label\">*<\/span><\/label>\t\t\t<div class=\"wpforms-captcha-math\">\n\t\t\t\t<span id=\"wpforms-1120-field_6-question\" class=\"wpforms-captcha-equation\">\n\t\t\t\t\t<span class=\"n1\">4<\/span>\n\t\t\t\t\t\t\t<span class=\"cal\">+<\/span>\n\t\t\t\t\t\t\t<span class=\"n2\">4<\/span>\t\t\t\t\t<span class=\"e\">=<\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"text\" id=\"wpforms-1120-field_6\" class=\"wpforms-field-medium wpforms-field-required a\" data-rule-wpf-captcha=\"math\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][6][a]\" aria-describedby=\"wpforms-1120-field_6-question\" required>\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][6][cal]\" class=\"cal\">\n\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][6][n2]\" class=\"n2\">\n\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][6][n1]\" class=\"n1\">\n\t\t\t<\/div>\n\t\t\t<\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-1120-field-hp\" class=\"wpforms-field-label\">Website<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-1120-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1120\"><input type=\"hidden\" name=\"wpforms[time_token]\" value=\"1792758467.9ec8969c746e0e7defc52904d831c0ceaf77c040f93e6525fd86b55811ccbe20\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/mytwoelaines.com\/index.php\/wp-json\/wp\/v2\/pages\/824\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1120\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"<p>Thank you for your interest in having former Wisconsin Gov. Martin J. Schreiber, author of My Two Elaines: Learning, Coping, and Surviving as an Alzheimer\u2019s Caregiver, at your event. In an effort to reach as many caregivers as possible, Marty does not charge a speaker\u2019s fee \/ honorarium*. Please note: Net proceeds from the sale [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"sfsi_plus_gutenberg_text_before_share":"","sfsi_plus_gutenberg_show_text_before_share":"","sfsi_plus_gutenberg_icon_type":"","sfsi_plus_gutenberg_icon_alignemt":"","sfsi_plus_gutenburg_max_per_row":"","_monsterinsights_skip_tracking":false,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"class_list":["post-824","page","type-page","status-publish","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Out-of-State Organizations &amp; Events - My Two Elaines: Learning, Coping, and Surviving as an Alzheimer&#039;s Caregiver \u00a0 &nbsp; Gov. 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