Mayor - Meeting Request

2. First Name*
3. Last Name*
5. Title
7. Organization
9. Email*
10. Phone Number*
12. Address*
14. City*
15. State*
16. Zip*
18. Preferred Time*

    1. Morning
    2. Afternoon
    3. Anytime
19. Council District (If known)
    -- Select One --2 - Kay Brown-Patrick3 - Nicole Raphiel4 - Andre Byrd5 - Dinah Marks6 - Crystal Chism7 - Letitia Hughes
21. Meeting Purpose*
23. Additional Attendees
25. Background or Supplemental Information*
27. Attached Invitation (Optional)
Leave This Blank:


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

* indicates a required field