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
or 408.535.4903. Thank you!
Sign in to Google
to save your progress.
Contact Name (First and Last Name)
Address (Street Name and Number)
City, State, & Zip
Contact Phone Number
Page 1 of 6
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service