Mayor/Other Staff Person Appearance Request
Please fill out the form below to request the Mayor's, or other staff person's appearance to speak or appear at an event.
Who is this request for?
*
Mayor
Other Staff Person
Name of Staff Person
*
Logistics
Name of the event
*
Date of the event
*
-
Month
-
Day
Year
Date
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Approximate arrival time for Mayor/Other Staff Person
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Hour Minutes
AM
PM
AM/PM Option
Estimated end time
*
Hour Minutes
AM
PM
AM/PM Option
Location Name
*
Location Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Exact Location (Suite, Floor, Room, Gate, Entrance, Other)
*
Reserved Parking Area or Location
Greeter’s Name
*
First Name
Last Name
Greeter's Phone Number
*
Please enter a valid phone number.
Greeter's Email
*
example@example.com
Approximate time Mayor/Other Staff Person will speak
*
Hour Minutes
AM
PM
AM/PM Option
Total time required of Mayor/Other Staff Person at event
*
Reserved Seating Arrangement or Location
Dress Code for Attire
*
Nature of the Event
Purpose of the event
*
Mayor’s/Other Staff Person's Role
*
Agenda or Program
Number of attendees
*
Type of Audience
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VIPs in attendance
For Speeches/Remarks: Topics/points to discuss
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For Speeches/Remarks: Length of comments
*
Project Information or Fact Sheet
Will there be a podium?
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Yes
No
Event Contact Information
Contact Name
*
First Name
Last Name
Contact Phone Number
*
Please enter a valid phone number.
Contact Mobile Number
Please enter a valid phone number.
Contact Fax
Please enter a valid phone number.
Event Photographer’s Contact Info
Contact Email
*
example@example.com
RSVP Deadline
*
Additional Information Regarding Event
Under Florida Statute 119 (Public Records) your email communications may be subject to public disclosure.
*
Submit
Should be Empty: