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2. Name of Event*
3. Date*
   Date
5. Start & End Time*
   Start & End Time Start Time

   —

   Start & End Time End Time
7. Location*
9. Contact Person*
10. Phone Number*
12. Email Adress*
14. Mayor's role at the event*

    1. Guest
    2. Participant
    3. Speaker
16. Other elected officials or dignitaries invited:*
18. Number of people expected to attend:*
20. Open to the Media?*

    1. Yes

    1. No
21. Open to the Public?*

    1. Yes

    1. No
23. Do we have your permission to use images from this event on our web site or on other city-sponsored materials?*

    1. Yes

    1. No
25. Any other information we should know?
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field