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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
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:


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