San José District 3 Event Request
Thank you for contacting the office of San José District 3 - Councilmember Raul Peralez. If you would like to request 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 possible in regard to your request. Please understand that the Council member's schedule is subject to change. For questions concerning this form, please contact District 3 at or 408.535.4903.

Once the form is submitted we will notify you within 14 business days of approval status. Thank you!
Email address *
Event Name *
Organization *
Contact Name (First and Last Name) *
Address (Street Name and Number)
City, State, & Zip
Contact Phone Number *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.