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Invite the Mayor/City Council Member to a Special Event.

  1. This form is used to invite an Elected Official to an event. Completion of this form does not confirm the attendance of the Mayor or any Member of City Council. A staff person will contact you to coordinate and advise you of the availability of the Mayor and/or requested Council Member.

  2. Which elected official are you inviting? *

  3. If event is not a set date; provide at least two options.

  4. Provide address of event.

  5. Estimate of expected attendance.

  6. Please provide details of the request, including the purpose of the event, requests for any speaking or remarks, arrival time of the official, and any program details and event plans.

  7. For any questions regarding this form you may reach out to the City of Burlington Administration Office at 336-222-5020

  8. Leave This Blank:

  9. This field is not part of the form submission.