Please complete the form below to request the Mayor’s attendance at an event.

Once we receive your invitation, we will contact you as quickly as possible with the Mayor’s availability.

Event Information

 *

Event Information

Name of Event	Sponsoring Organization
Location of Event	Street Address of Event
City	Zip Code

Event Date/Time

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Event Date/Time

Event Date/Time

Time

Event Type

Event Type

Luncheon

Dinner

Reception

Gala/Ball

Conference

Ribbon Cutting/Grand Opening

Speaking Engagement

Telephone Call

Other (please describe below)

Other Event Type

Other Event Type

Purpose of Event

Why are you asking the Mayor to attend?

Purpose of Event Why are you asking the Mayor to attend?

Mayor's Participation Information

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Mayor's Participation Information

Mayor's Participation Portion Start Time

Mayor's Participation Portion End Time

Are you requesting the Mayor to speak at this event?

Speaking Time - For how many minutes would you like the Mayor to speak?

Discussion Topics - Topics you would like the Mayor to address in his remarks.

Recommended acknowledgements of organization leaders to include in the Mayor's remarks.

Contact Information

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Contact Information

Full Name and Title

Organization

Phone Numberext.

Email

Relevant Background Information About Organization

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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