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