Thank you for your interest in having Mayor Luke Bronin appear at your event! Please complete the form below to formalize your request. Unfortunately, we cannot make commitments more than 30 days in advance.
Event Overview
Event Name *
The name of the event at which you'd like the Mayor to appear.
Your answer
Event Organization *
The name of the organization holding this event.
Your answer
Event Date and Time *
This is the date and time at which this event begins
MM
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DD
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YYYY
Time
:
Mayor's Participation Time *
This is the time at which you'd like the Mayor to attend this event.
Time
:
Event Town *
In what town or city will this event be held?
Your answer
Event Address *
At what address (street and number) will this event be held?
Your answer
Directions to the Event *
Please provide detailed directions to the location at which the Mayor should arrive.
Your answer
Event Details and Mayor's Role
Please Provide a Brief Outline of This Event *
What will happen at this event? Why is this event being held?
Your answer
Please Provide Information About the Proposed Role for the Mayor at This Event. *
What will the Mayor do during this appearance? Read a speech? Take a tour? Cut a ribbon?
Your answer
Please Provide Information on the Audience at This Event. *
Who will be attending? Teachers? Employees? Recent Graduates? What issues matter to them?
Your answer
Expected Event Attendance *
How many people are you planning for at this event?
Your answer
Requester Information
Details and contact information of the person or organization inviting the Mayor.
Requester Name *
The name of the person inviting the Mayor
Your answer
Contact Telephone *
The telephone number of the person or organization inviting the Mayor.
Your answer
Requester Street Address *
The street address (number, street, and apartment/suite) of the person or organization inviting the Mayor
Your answer
Requester Town *
The town or city of the person or organization inviting the Mayor.
Your answer
Requester State *
The state or province of the person or organization inviting the Mayor.
Your answer
Requester ZIP *
The ZIP code of the inviting person or organization inviting the Mayor
Your answer
Requester Email Address
The email address of the person or organization inviting the Mayor.
Your answer
Additional Requester Phone Number
Cellular, alternate, or offsite phone number for the person or organization inviting the Mayor.
Your answer
Requester Fax Number
Fax number of the person or organization inviting the Mayor.
Your answer
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