Requestor Name
*
First Name
Last Name
Requestor Email
*
example@example.com
Requestor Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
What are you requesting?
*
Please Select
Meeting with Council President
Council President attending event
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Organization
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If the Council President is unable to attend, would you be interested in meeting with another member of the Council President’s Team?
*
Yes
No
Suggested time 1
*
-
Month
-
Day
Year
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Hour Minutes
AM
PM
AM/PM Option
Suggested time 2
*
-
Month
-
Day
Year
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Hour Minutes
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PM
AM/PM Option
Suggested time 3
*
-
Month
-
Day
Year
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Hour Minutes
AM
PM
AM/PM Option
Meeting purpose
*
Please describe what you are looking to discuss or provide the meeting agenda
List of attendees
*
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Event Name
*
Organization
*
Event Date and Time
*
-
Month
-
Day
Year
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Hour Minutes
AM
PM
AM/PM Option
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parking Instructions
*
Where should the Council President go upon arrival?
*
Day of Point of Contact Name
*
First Name
Last Name
Day of Point of Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Role in Organization
*
Purpose of Event
*
Are you asking that the Council President deliver remarks?
*
Yes
No
Any suggested talking points?
*
If the Council President is unable to attend, would you be interested in meeting with another member of the Council President’s Team?
*
Yes
No
Run of Show
*
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