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Event Request Form
Thank you for inviting Council Member Santa Cruz to your event. Please answer the following questions.
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First and Last name
*
Your answer
Email Address
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Your answer
Phone Number
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Your answer
Date of request
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MM
/
DD
/
YYYY
Organization
*
Your answer
Website or Facebook page of your organization
Your answer
Name of Event
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Your answer
Date of event
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MM
/
DD
/
YYYY
Time of event
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Time
:
AM
PM
Location and Address of event
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Your answer
Briefly explain what the event is
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Your answer
Who will be attending (Ex. general public, staff of _____, affiliated with a certain topic, etc.)
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Your answer
How many people are expected to attend the event?
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Your answer
Council Member’s arrival time
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Time
:
AM
PM
Council Member’s time commitment
*
Your answer
Do you have an agenda or flyer for the event? If so, please provide website or attach in email to
Ward1@tucsonaz.gov
*
Your answer
Would you like the council member to speak at the event?
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Yes
No
If no, what does their appearance entail?
*
Your answer
If yes, please answer the following questions :
Who should the council member thank in their remarks (provide names and titles)
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Your answer
Do you have suggested talking points for the council member? (other things you'd like the council member to mention?)
*
Your answer
Thank you! A member of the Ward 1 staff will reach out to coordinate.
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