2. The following is an appearance request form for the Mayor, City Council Members, or employees of the City of Idaho Falls. Please be as detailed as possible to provide the requested guest with the information for their requested appearance. Please note the following form does not guarantee an appearance from the requested individual.

4. Name of group/individual making the request *
6. Who would you like to attend your event?*
   -- Select One --The MayorCity Council MemberCity Employee
8. Inviting Mayor/Council as a:*
   -- Select One --Guest SpeakerKeynotePanelistOther
10. Why are you requesting this/these individuals to attend your event?*
12. Your contact information
14. Name*
15. Email Address*
17. City*
18. State*
20. Phone Number*
22. Event information
24. Please provide a detailed description of the event.*
26. Starting date and time of the event *
    Starting date and time of the event

    Starting date and time of the event
27. Ending Date and time of the event *
    Ending Date and time of the event

    Ending Date and time of the event
29. Requested arrival time*
30. Requested speaking time*
32. Event location (address, building, room, directions, etc.)*
34. What is the purpose of your event? What brings you to the City of Idaho Falls?*
36. Who else will be in attendance. (Please include important recognitions, head count, etc.)*
38. Who else will be speaking at the event?*
40. Is the press/media involved with the event? *

    1. Yes
    2. No
41. If media is involved, please provide a detailed description.
43. Is there a charge to attend the event?*

    1. Yes
    2. No
45. Are you the point of contact at the event? *

    1. Yes
    2. No
46. If you answered no please provide their info here.
48. What is the event's dress attire?
50. Is there an agenda/program? (Attach here if available. A draft form of the document is acceptable.)
52. Details of speech
54. Please provide a detailed description of the topic.*
56. What is the length of the speech?*
58. Will there be an audio and visual system?*

    1. Yes
    2. No
59. Do you expect a visual presentation? *

    1. Yes
    2. No
60. Will there be a podium?*

    1. Yes
    2. No
61. Will anyone introduce the Mayor/Council *

    1. Yes
    2. No

63. * Filling out this form does not guarantee an appearance of the Mayor, City Council Member or City of Idaho Falls Employee. The form is for request purposes and a City representative will contact you soon.

    
    

    * Please understand that if the Mayor, City Council Member or City Employee can speak, their schedule may not allow them to attend the entire event.

Leave This Blank:


65. 1. Receive an email copy of this form.
66. Email address

    This field is not part of the form submission.

67. Submit Submit and Print

* indicates a required field