Request to Invite the Albany, NY Mayor Dr. Dorcey L. Applyrs to an Event
Please complete this form to request the Mayor to attend or participate in your event. Requests must be submitted at least 21 business days before the event date. Submission of this form does not guarantee attendance. A member of the Mayor’s Office will contact you regarding availability.
Contact Information
Event Name
*
Requesting Organization
*
Website (Eventbrite, Organization website, etc.)
RSVP Needed By (Date)
-
Month
-
Day
Year
Date
Event Date
*
-
Month
-
Day
Year
Date
Event Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Event End Time
*
Hour Minutes
AM
PM
AM/PM Option
Contact Person for the Event
*
First Name
Last Name
Are you willing to have a designee of the Mayor to come speak?
*
Yes
No
How long is the Mayor expected to be present for the event?
*
Contact Person Email
*
example@example.com
Contact Person Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Physical Address of Event Location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Event Location Details
Please include room and floor number, special directions, or any additional details.
Dress Code (If Applicable)
Event Theme (If Applicable)
Is there a topic or subject that should be addressed in the Mayor's remarks?
Does the group have any special causes or concerns that should be addressed?
Preferred Length of Comments
Are there people in the audience that should be recognized? (dignitaries, politicians, donors, etc.)? If so, who?
Are there any other speakers? If so, who?
Who is the target audience?
*
What is the age range of the audience?
Proposed Run of Show
*
Additional Details
Attachments
If you have additional information that you would like to include that will not fit within the confines of this form, please upload it here.
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