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2. Mayor Beau Burkett is happy to attend and participate in Community Events as time allows. Please use the form below to send him an event request.

   Please email Mayor Burkett any briefing papers, background information, agenda, speaking points, etc. at least 7 working days in advance of the event.

4. Name of Event*
5. Date of Event*
   Date of Event
7. Time of Event*
   Time of Event
8. Time Mayor needs to Arrive*
   Time Mayor needs to Arrive
10. Time Mayor needs to Speak*
    Time Mayor needs to Speak
12. Location/Address*
14. City*
15. State*
16. Zip Code*
18. Contact Name*
19. Organization/Department*
21. Cell Phone (include area code)*
22. Email*
24. Give Welcoming or Opening Remarks Only

    1. Yes
    2. No
25. Required to Speak

    1. Yes
    2. No
27. If Yes, Please Provide Topic
29. Additional Event Details
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field