Appearances Form - Mayor & Council

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Event Name:

Date of event:

Time of event:

Duration:

Location:

Dress Code:

Remarks & Greetings Requested:

Yes

Length of Remarks/Greetings:

Introduction By:

Other Dignitaries/Speakers Invited:

Media Invited:

Yes

Guest/Spouse Permitted:

Yes

How many Persons Expected at Event:

Alternate Council Designate:

City Contact Person:

Bio of Mayor/Councillor requested:

Yes

Additional Information/Event Program, etc:

Attachment:

Contact Person

Name:

Tel:

Enter a valid phone number. Example: 123-456-7890

Email:

Enter a valid email address. Example: name@company.com

Internal Use Only

Member of council attending:

Councillors contacted:

Date RSVP:

Date sent bio (if requested):

Date remarks sent: