Speaking/Attendance Request Form

If you would like to request Mayor Smith to speak at or attend your meeting or event, please complete the request form below. Once your form has been submitted and reviewed, the City's Manager's Office will contact you about your request.

Please complete all fields and provide as much detail as possible. Thank you for your request.

* - Denotes required field

1. General Information:
2. Contact Information:
3. Type of Speaking Request:
4. Press / Media
5. Event Details:
6. Speech Details: