2. If you would like Mayor Brocato to attend a meeting, school event, special function, or gathering, please complete the information required below.
4. Contact Name:
6. Contact Telephone:
7. Contact Email:
9. Contact Address:
11. City:
12. State:
13. Zip:
15. Purpose for Request:

    1. Meeting
    2. School Event

    1. Special Function
    2. Social Gathering

    1. Other
16. If Other:
18. Date of Appearance:
19. Time of Appearance:
21. Location of Appearance:
23. Address of Appearance:
25. City:
26. State:
27. Zip:
29. List of Participants:
31. Details Regarding Function / Purpose of Meeting:
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33. 1. Receive an email copy of this form.
34. Email address

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