Request for Mayor to Speak
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Name of Organization *
Name of Event *
Purpose of Event *
Date of Event *
MM
/
DD
/
YYYY
Time of Event *
Time
:
Location of Event *
Contact Person *
Contact Information *
Indoor or Outdoor Event *
Time that the Mayor needs to speak *
Time
:
The mayor may be unable to attend pre or post receptions.
Mayor's Role *
If Brief Remarks, Keynote, or Speaker role; what topics and length
What topics would you like addressed?
How long are the remarks expected to be?
If Proclamation: Provide Mayor’s Executive Assistant with information regarding the subject. Proclamations are given by the discretion of the Mayor.
Who is the audience? *
Will there be a podium? *
How many people are expected to attend? *
Dress for the occasion for Mayor and spouse? *
Where will the Mayor, and possibly spouse, sit? *
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