NewsNation is hosting a town hall in Chicago with Republican Presidential candidate and former Vice President Mike Pence on Wednesday, Sept. 13. Hosted by Leland Vittert, the town hall will be from 9 p.m. to 10:30 p.m. ET in NewsNation’s Chicago headquarters with an additional studio audience at Grand View University in Des Moines, Iowa. Questions will come from both audiences.

Fill out the form below for a chance to attend NewsNation’s Mike Pence town hall in person.