San José District 3 Event Request
Thank you for contacting the Office of Councilmember Raul Peralez- District 3. If you would like to request the attendance of the Councilmember or District 3 staff to an event, please complete the online form we have provided for your convenience.

You will be notified as soon as your request has been reviewed by staff. Please understand that the Councilmember's schedule is subject to change at any time. For questions concerning this form, please contact District 3 at district3@sanjoseca.gov or 408.535.4903. Thank you!
Sign in to Google to save your progress. Learn more
Email *
Contact Name (First and Last Name) *
Organization *
Event Name *
Address (Street Name and Number)
City, State, & Zip
Contact Phone Number *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.