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Meeting/Event Request Form

Please note that due to their busy schedules and the volume of requests for their time, we ask that you submit event and meeting requests for Mayor Mike McGinn and Deputy Mayor Darryl Smith at least one month in advance of the event (whenever possible).

Thank you very much.

Official Requested:	--None--Mayor Mike McGinn Deputy Mayor Darryl Smith
Select which BEST describes your request:	--None-- Meeting Fundraiser Press Conference Community Event Conference

Event Name:
Agenda / Program: (include other speakers to help us visualize the flow of the event and Mayor's role, even if not finalized)
Background Materials: (Any relevant background materials on the organization(s) or topic, incl. history, context, and controversies of note)

Role of Mayor or Deputy:	--None-- Keynote Speaker Welcoming Remarks Introduce a Speaker Guest
Is the event date set?	Yes

Event Date:
Start Time:
End Time:

Event Location (including address):
Venue Type (indoors/outdoors, gymnasium/small room, etc):
Estimated Audience Size:
Has press been invited?:	Yes
Event Website (if applicable):

Name of the organization you represent (if applicable):
Contact Name:
Email Address:
Best Phone Number:
Contact Mailing Address:

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We respect your privacy and will not distribute your personal information except as necessary to resolve your request or complaint. However, you should be aware that this information is subject to the State’s public disclosure laws and may be disclosable upon request. [see privacy policy].

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