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Mayor Request to Speakaaronf2018-08-17T14:56:40-07:00

Request for Mayor to Speak Submission Form

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Your request has successfully submitted. Thank you!

REQUEST FOR MAYOR TO SPEAK AT ENGAGEMENT

Requester:

Street Address:

City, State, Zip:

Phone:

Email:

Name of Event:

Location:

Date of Event:

Time:

Who you would like to attend?

Mayor

Mayor and Council

Allotted time for speaking:

(Special Instructions dress attire, staging area, etc.)

Included is a brief summary/background of the event or organization.

Please upload your PDF file:

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775 North Main Street
PO Box 2670
Florence, AZ 85132

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