Online Form - Special Request for Mayor's Attendance

Contact Information

Organisation (if applicable)

Name*

Contact Number*

Email Address*

Address*

Event Information

Event Name*

Event Date*

Start Time*

Finish Time*

Event Address*

Event Description*

Names and titles of any invited dignitaries

If the Mayor is unavailable, would you like an Elected Member or a City Representative to attend on behalf of the Mayor?*

YesNo

What is expected of the Mayor / City Representative?*

Is a speech required by the Mayor / City Representative? If Yes, please provide key points to assist with speech preparations

Who is the point of contact on arrival?*

Timeframe attendance is required*

Are there any associated costs? If Yes, please provide details

Additional Comments

Please upload any files which may assist with this request

Maximum size of ALL attachments is 976.56 MB