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2. To request the Mayor’s attendance and/or remarks at an event, please complete the form below. All fields are required. Due to the amount of requests the mayor receives, all requests should be submitted at least four (4) weeks prior to the event to be considered.  

   NOTE: A submitted request is not a confirmation the mayor will attend. All requests will be thoroughly reviewed by the mayor and staff, and the City of Killeen will notify the requestor no later than two (2) weeks prior to the event if the mayor is available to attend.

   All form fields are required.  If a field is not applicable, please input "N/A".

6. Requestor's name*
7. Organization name (if applicable)*
9. Phone number*
10. Email address*
12. Event name*
14. Event date*

    Can date be changed?  If so, provide two alternate dates below.

16. Alternate date #1*
17. Alternate date #2*
19. Event location and address*

    Please be as specific as possible.  If it's at a school, what room in the school, etc.

21. Parking instructions (if needed)*
23. Event start time*
24. Time Mayor should arrive*
25. Time Mayor will speak*
26. Time Mayor is dismissed*
28. Length of time Mayor is expected to speak (Mayor will speak no more than 3 minutes, unless she is keynote/main speaker for event)*
30. Topic of event*
32. Type of event*
34. Dress code*
36. Is this event public or private?*

    1. Public
    2. Private
38. Number of attendees*
40. Mayors role*
42. Who is the audience?*
44. Are any Military leaders/congress members, political representatives, dignitaries and/or VIP's expected to attend?*
46. Specific bullet points/topics you'd like the mayor to address in speech*
48. Attachment

    Attach event flyer, invitation or other material

Leave This Blank:


50. Submit

* indicates a required field