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2. Fill out the form to request for the Mayor's attendance.
4. Name of Organization*
8. Requester's Contact Information
10. Name*
    Your name / who is filling out this form.
11. Email Address*
    Your email / who is filling out this form.
13. Phone Number (Mobile)
    Your phone number / who is filling out this form.
17. Day of Event Information
19. Name*
    Name of the main point of contact for the day of the event.
20. Email Address*
    Email of the main point of contact for the day of the event.
22. Phone Number (Mobile)*
    Phone number of the main point of contact for the day of the event.
24. Date & Time of Event
    Date & Time of Event

    Date & Time of Event
25. Time of the Mayor's Appearance*
    Time of the Mayor's Appearance
27. Address of Event*
    Street Address (Apartment, Suite, Building information is optional but is recommended)
29. City
30. State
31. Zip Code
33. Describe the Event*
35. Describe the Audience*
    Describe the expected audience who will attend your event.
37. Type of Appearance*

    1. Ribbon Cutting
    2. Grand Opening
    3. Open House
    4. Ground Breaking
    5. Brief Remarks (2-3 mins)
    6. Address or Speech (10 mins)
    7. Panel Discussion (group topic)
    8. Power Point Presentation
    9. Other
38. Would you like the Mayor to speak?*

    1. Yes
    2. No
39. If this is a panel discussion, how many minutes would you like him to speak and would you like a PowerPoint Presentation? *
40. If you selected "Other" please explain. *
42. Would you like a proclamation?*

    1. Yes
    2. No
44. Proclamation Language

    If you have a Word document or PDF document of the proclamation language, please copy / paste the text here.

46. Upload Proclamation File
    Or, instead of pasting on this form, you can provide the PDF form.
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48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field