Request the Mayor's Attendance at a Meeting or Event

2. Request the Mayor's Attendance at a Meeting or Event
   Please complete this form if you are requesting the Mayor's attendance at a meeting or event. This form should be completed at least two weeks in advance. If you have any questions regarding the process, please call 317-595-3338

   Please complete this form if you are requesting the Mayor's attendance at a meeting or event. This form should be completed at least two weeks in advance. If you have any questions regarding the process, please call 317-595-3338

4. I am requesting the Mayor's attendance at a/an:
   1. Meeting
   2. Event

6. Name of Organization

8. Contact Name

9. Contact Phone

11. Contact Email

13. Contact Mailing Address

15. Purpose of Meeting

17. Address of Meeting - Please Include Office/Suite Number

19. Describe Which Door the Mayor Should Enter Through

21. Will Mayor be Speaking at the Meeting?
    1. Yes
    2. No

22. If Yes, Please Describe What The Mayor Will be Speaking About

24. First Time/Date Preference
    First Time/Date Preference

    First Time/Date Preference

25. Second Time/Date Preference
    Second Time/Date Preference

    Second Time/Date Preference

26. Third Time/Date Preference
    Third Time/Date Preference

    Third Time/Date Preference

28. How Long is the Meeting Expected to Go?

29. Please Attach the Meeting Agenda

31. Organization Address

33. Organization Website URL

35. Organization Social Media Accounts

37. Name of Event

39. Location of Event

41. Description of Event - Please Include Purpose of Event and Number of Attendees

43. Event Begins/Ends
    Event Begins/Ends Start Date

    Event Begins/Ends Start Time

    —

    Event Begins/Ends End Date

    Event Begins/Ends End Time

45. Mayor's Roll at Event
    1. Welcome Address
    2. Keynote Address/Speaker
    3. Social Event/Meet and Greet
    4. Being Honored or Rewarded
    5. Walkthrough/Tour

46. Please Include a Diagram of the Area if the Event is Outdoors

Leave This Blank:


47. 1. Receive email copy
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field