Welcome to the City of Memphis Website!
Schedule an Appearance by the Mayor
OFFICE OF THE MAYOR
Please fill in the appropriate fields pertaining to your event.
Please Note: All fields with
*
are mandatory fileds and the form cannot be submitted without filling these fields
General Information
*
Event Name
*
Event Purpose
Program or Agenda
*
Event Date
*
Start Time
*
End Time
*
Event Location
Room Name or Number
*
Address
*
City
*
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Event Information
We would like the Mayor to appear as a
Guest
Speaker
Welcoming Speaker
Keynote Speaker
Participant
Other
*
How long would you like the Mayor to speak?
*
What time will the Mayor's remarks begin (Please be specific)?
*
How many guests do you expect?
Who will your guests be? (example: teen-agers, local business owners, engineers, etc.)
Who will introduce the Mayor?
*
Is Event open to the Public?
Yes
No
*
Is Event open to the Media?
Yes
No
Known Elected Officials Or Dignitaries invited to attend
Attire
Parking Instructions
Contact Information
*
Organization Name
*
Contact Name At Event
*
Event Contact Email
*
Event Contact Phone (Include Area Code)
Event Contact Alternate Phone (Include Area Code)
Your Name (If different from above)
Your Email (If different from above)
Additional Information
Send Request
Clear Form