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2. Please Note

   Completion of this form does not confirm the attendance of the Mayor or any Member of City Council at your event.

   Once your invitation has been received, you will be contacted as soon as possible.

4. Point of Contact

   Sandy Madison
   Phone: 757-382-6151
   Email Sandy Madison

6. Name of Event*
8. Date of Event*
   Date of Event
9. Start and End Time*
   Start and End Time Start Time

   —

   Start and End Time End Time
10. Approximate Number of Attendees*
12. Place/Address of Event*
14. Hosting Organization or Group*
16. Point of Contact Name*
17. Point of Contact Email Address
18. Point of Contact Cell Number*
20. Which official or officials would you like to invite to your event?*

    You may select more than one. 

    1. Mayor Richard W. "Rick" West
    2. Vice Mayor John de Triquet
    3. Council Member C. Jeff Bunn

    1. Council Member Don J. Carey III
    2. Council Member Robert C. Ike, Jr.
    3. Council Member Amanda L. Newins

    1. Council Member S.Z. "Debbie" Ritter
    2. Council Member Dr. Ella P. Ward
    3. Council Member Daniel W. Whitaker
22. Welcome Address?*

    1. Yes
    2. No
23. Keynote Address?

    1. Yes
    2. No
24. Which official would you like to make the address?

    This field is required if you selected "yes" to having an official make an address.*

26. Length of Time for Remarks, if Applicable
27. Start Time for Remarks, if Applicable
    Start Time for Remarks, if Applicable
28. Required Arrival Time for Mayor/Council Members*
    Required Arrival Time for Mayor/Council Members
30. Point of Contact Name and Cell Number at the Event, if Different from Above
31. Name(s) of Leadership of Organization who will be in Attendance
33. Any Additional Information, including History of the Organization or Group.
34. Upload a Flyer if Available
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field