Attendance Request for Mayor Fadness/Deputy Mayor Hultgren

Attendance Request for Mayor Fadness/Deputy Mayor Hultgren

Please complete this form if you are requesting the Mayor's attendance at a meeting or event. This form should be completed at least four weeks in advance. Confirmation of attendance will be made at least two weeks prior to the meeting or event date. If you have any questions regarding the process, please call 317-595-3338.

Name of Organization

Contact Name

Contact Phone

Phone

Contact Email

Organization Address

Website URL

Social Media Handle(s)

Please indicate the social media platform alongside the handle. The City of Fishers may use this information to promote attendance to your meeting/event/appearance.

Who are you requesting a meeting with?*

Select

Name of Event/Meeting

Date of Event/Meeting

Event Start Time / End Time

Address of Event/Meeting

Exact Location of Meeting Space

Description of Event/Meeting

Is this a:

Select

Will media be invited to this event/meeting?

Select

Requested Role at Event/Meeting*

Select

If other, please describe requested role:

Audience/Participants

Please describe the target audience or the main participants in the event or meeting:

Panelist Names and Titles

Themes or Talking Points

Please indicate the topic(s) or themes that should be included in any remarks:

Run of Show, Event Program, or Meeting Agenda*

You may also enter a URL if the program or agenda is lengthy.

Will a meal be served?

Select

Please provide list of table guests.

Please include occupation and organization.

Onsite or Day-of Contact Name

Onsite or Day-of Contact Mobile Number

Phone

Send me a copy of my responses

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