Contact Information
Name
*
First Name
Last Name
Organization
*
Organization Website
Address
Address Line 1
Address Line 2
City
State
Zip Code
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Event Details
Event Name
*
Please describe the objectives of the event.
*
Does the event commemorate a special anniversary, awareness day, week, or month?
Yes
No
Mayor's Role
*
When is the event?
*
-
Month
-
Day
Year
Is the date flexible pending the Mayor's schedule?
*
Start Time
*
AM
PM
AM/PM Option
End Time
*
AM
PM
AM/PM Option
Is the time flexible pending the Mayor's schedule?
*
Has the Mayor participated in the past?
*
Event Agenda
Please type or upload the agenda or rough outline of what will happen at the event.
*
If uploading the agenda, indicate "See attachment" in the text field.
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Location of Event
Address
*
Address Line 1
Address Line 2
City
State
Zip Code
Room Name
*
Participants / Audience
Are there other event partners/co-sponsors?
Have other elected officials been invited to attend?
Estimated number of attendees
*
Special guest or honoree
Please describe the audience composition. What types of groups will be represented?
*
Will the media be invited to this event?
*
Yes
No
If the Mayor is unable to attend, can he send a letter or video in his absence?
*
Yes
No
Please provide any additional information that you think may be helpful in considering this request.
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