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City of Madison Mayor Dave Cieslewicz

MAYOR DAVE CIESLEWICZ SCHEDULING REQUEST

CONTACT INFORMATION
Contact Name: *
Organization: *
Description of Organization: *
Organization Website:
Contact Phone Number(s): *
Email: *

EVENT INFORMATION
Event: *
Date of Event: *
Time of Event: *
Location/Address: *
Event Phone Number (meeting site or cell phone number): *
Directions to the site and within the facility: *
Parking directions (please include any needed parking permits or reserved parking space for Mayor):

EVENT DETAILS
Mayor's role (aside from speaking, is there anything else the Mayor is being asked to do, i.e., present awards, pose for photos, etc.):
How long the Mayor needs to attend (please specify the start time and length in hours):
Length and type of presentation (speech, panel discussion, etc.):
Topic/purpose of Mayor's speech:
Room set up (podium, head table, etc. - include seating arrangements for the Mayor):
Who will meet the Mayor upon his arrival?
Who will introduce the Mayor?
Audience (who will attend and how many are expected to attend):
Media plans:
Meeting agenda:
Other speakers and order of speaking:
Will you accept a representative in the event the Mayor is unable to attend? Yes No