Mayoral Engagement Form
For Mayor Of Kidderminster, Cllr Doug Hine
Name of Function/Event
*
Name of Contact
*
This person should meet the Mayor on arrival and make the necessary introductions to the presiding person
Date of Function/Event
*
-
Month
-
Day
Year
Date
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Arrival/Departure Notes
Eg. Arrive 10 minutes early
Venue Name
*
Venue Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parking Guidance
*
If possible, a space should be reserved. Or please note parking facilities nearby.
Will Refreshments be Available?
*
Type of refreshments
Who Will Preside?
Dress Required (Mayor)
*
Please Select
Formal
Informal
Are Chains of Office to be Worn?
Yes
No
Dress Required (Mayoress)
Please Select
Formal
Informal
Is the Mayor Required to Make a Speech, Announcement or Comment?
*
If YES, please provide brief background information to assist the Mayor in making a speech relevant to the occasion. Any relevant agenda or programme should accompany this form.
Name of Organiser (If different from contact)
Email Address of Organiser
*
example@example.com
Phone Number of Organiser
*
Additional Function/Event Details (Optional)
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