Request an Appearance

Complete and submit this form to request Representative Kim’s appearance at a meeting, speaking function, or a non-speaking function. Due to the Member’s schedule, not all requests can be filled.

Activity Details

Type of Request*

Location of Event:*

Date of Engagement*

Number of Attendees*

Topic of Engagement*

Details*

Your Information

First Name*

Prefix*

Middle Initial

Last Name*

Suffix*

Address*

Address (cont.)

City*

State*

Zip Code*

Email Address*

Phone Number*

Your Organization's Information

Organization*

Your Title*

Organization's Website

Office Locations

WASHINGTON DC OFFICE

ANAHEIM HILLS OFFICE

MISSION VIEJO OFFICE

WED-FRI 9AM-5PM