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2. Full Name*
3. Email*
4. Phone*
6. Address
7. City, State
8. Zip
10. I would like to...*
    -- Select One --Schedule a meeting with the mayorAsk the mayor to attend an event
12. Reason for meeting*

    Please provide a detailed description of the topic you would like to discuss.

14. Requested meeting length*
    -- Select One --15 minutes30 minutes1 hour
15. Names of all attendees*
17. Organization and event title*
19. Event date and starting time*
    Event date and starting time

    Event date and starting time
20. Will the mayor be asked to speak?*

    1. Yes
    2. No
22. Event location*
23. Total time requested*
25. Please provide any additional details about the event*
27. You may attach photos, agendas, or other relevant documents here
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit Submit and Print

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