Request to schedule City representatives to speak

To request City representatives to speak to your neighborhood group or organization (10 to 20 people), please complete the form below.

Note: A red caption indicates that a required field is empty or contains an invalid entry.
Organization Information:    
* Name of Organization or Neighborhood:  
Background information on your organization:  
     
Contact Information:    
* Full Name:  
Title:  
* e-mail:  
* Phone:   ( ) -
     
Event Information:    
* Date:   , ,
* Time:   :
* Location:  
* Anticipated Number of Attendees:  
* What topic would your group like to address?:  
What audio/visual aids are provided?:  
     
Additional Message: