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2. First Name:*
3. Last Name:*
5. Email Address:*
6. Phone Number:*
8. Address*
10. City*
11. State*
12. Zip Code*
14. What would you like to schedule?*

    1. Request a meeting with the Mayor
    2. Request the Mayor attend/speak at an event
16. Please provide details about the topic of meeting or event.*

    If this request is for event attendance, please include when and where the event is taking place and whether this is a speaking engagement.

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18. Submit

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