Custom Form

Role  Guest Only  or  Speaker 

First Name* 

Last Name* 

Email* 

Phone* 

Event Name* 

Event Date 

Event is Virtual  

Event Location (Name of Venue)* 

Event Address*

Indoor Outdoor

Please Type Event Agenda or Upload file below

Upload Event Agenda

 

Event Start Time* 

Event End Time* 

Suggested Arrival Time* 

Where do Mayor/Council park?* 

What should Mayor/Council do upon arrival at the venue?

Available Equipment (if requesting Mayor/Council to be a Speaker)

USB plug
Screen
Projector
Clicker
HDMI Cord
Laptop
Adapter for Surface Pro
Podium
Microphone

Suggested Attire

Business  Business Casual  Casual

Day-of Contact Person* 

Day-of Contact Person Phone* 

Day-of Contact Person Email* 

Additional Considerations Regarding Your Request



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