Request for Mayor’s Attendance

Required *

Event Details:
Event Title: *
Purpose of Event:
Date Event: *	Date and timeNow
Time of Event: *
Duration of Event: *
Location of Event:

Mayor Requirements:
Role of Mayor at Event:
Is the Mayor required to give a speech?: *	Yes No

If yes, specify what should be covered in this speech and provide any relevant background information.:
If applicable, provide an agenda for the event including the running order of speakers.:	Upload file

Recipient and Attendees:
Where the purpose of the event is to recognise the achievements of individuals or groups provide the names of all recipients and the achievement being recognised.

Name of Recipient 1:
Achievements:

Name of Recipient 2:
Achievements:

Name of Recipient 3:
Achievements:

Names and Achievements of remaining Recipients:


Other Attendees
List the names of other attendees with job titles (if appropriate) and specify if any attendees are under the age of 18 years.:

Contact Details:
Contact Name: *
Contact Telephone Number: *
Contact E-mail Address: *