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  • Mayor-President Sharon Weston Broome - Baton Rouge Seal
  • 501c3 Organization*
  • Add your website address below
  • Event Start Date/Time*
  • Event End Date/Time
  • Name of Requested Event*
  • Sponsoring Organization
  • Name of hotel/building
  • Number of Attendees*
  • Street Name
  • City
  • State
  • Zip Code
  • Event Type*
  • Suggested Attire*
  • Other Suggested Attire
  • Inside or Outside Event*
  • Other Attendees*
  • Will Media be Invited?*
  • Mayor's Participation Portion Start Date/Time*
  • Mayor's Participation Portion End Date/Time
  • Mayor's Greeting Party*
  • Mayor's Greeting Party Cell Phone Number*
  • Parking*
  • Are you requesting the Mayor to speak at this event?*
  • Will there be Question and Answer Session?*
  • Other Type of Remark
  • Mayor's Arrival Time*
  • Speech Slot Time*
  • Speaking Time
  • Discussion Topics*
  • Acknowledgments
  • Will there be a microphone setup?
  • Will there be a podium setup?
  • Seating Arrangements*
  • Primary Contact Full Name & Title*
  • Organization *
  • Phone Number*
  • Contact Email*
  • Alternate Phone Number
  • Alternate Email Address
  • Alternate Contact Full Name & Title
  • Alternate Contact Phone Number
  • Relevant Background Information About Organization
  • Organization's Social Media
  • Coordinating Organizations
  •  

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  • Email address