Request Mayor Elicker's Attendance at an Event!

Please complete the form below to invite or request Mayor Elicker's attendance at an upcoming event. While every request is important, due to scheduling demands, not all can always be accommodated. For this reason, the Mayor may ask a member of his staff to represent him at your event. Please provide at least two weeks' notice in advance of the event date. Note: This form is a request to attend an event, not a confirmation of attendance.

Attach a copy of the event invitation. (Optional)

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Personal Information

Prefix

First Name

Last Name

Organization

Your Title

Phone Number

E-Mail Address

Address 1

Address 2

City

State

Zip Code

Event Details

Event Host

What is the event? (Please provide as many details as possible.)

Event Date

Time of Event

RSVP Date

Event Address

Address or Location

Would you like the Mayor to speak or just attend? In addition, are there any other additional participation request of the Mayor? (Ex. Hand out an award, participate in an activity, etc.)

Is there any other important information about this event that you think the Mayor should be aware of?