Interactive Form: Request an Appearance by the Mayor

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Wednesday, May 22 11:00 AM

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Request an Appearance by the Mayor

Contact Information
*First Name:
*Last Name:
*Address:
*City:
State:
*Zip:
*Phone:
Email:
Event Information
*Event Type:
Is this a political or civic event:
*Name of Event:
*Date of Event:
*Location of Event:
*Name of Organization:
Organization Address:
*What time will the Mayor be expected to speak:
*How long will the Mayor Speak:
*Audience Description and Size:
*Program Theme:
*What points would you like the mayor to address:
If this event is not in Des Moines, will transportation be provided?:
Background Information
Annual Event:
Provide reference of any recent news articles for your event:
Speakers Outline:
Who are the other speakers:
Additional Information:
If you have any additional questions please contact Tammy at (515) 283-4944.