Group or Individual Making Request:

Email Address:

Phone:

Fax:

We invite the Mayor to be our:

Date and Time:

Event Details

Location (address, building, room number and
entrance)

Description of event:

Purpose of the Mayor's involvement:

Who will be attending? (include special
guests and approximate number of attendees)

Is there anyone attending the event that the
Mayor should recognize in his comments?

Is the press/media invited or involved?

What is the dress?

Please provide information about your
organization, the event, and any other
important information?

Speech Details

Topic:

Length of Speech:

Microphone:

Podium:

Who will introduce the Mayor?

Who else is speaking/performing?

Talking points for the Mayor: