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2. Speaking Engagement/Presentation Form

   Please complete this form to request the City Manager present/speak at your event. If you have any question please contact the City Manager's Office 262.473.0101. Thank you

4. Reply Email*
5. Event Title
7. Type of Speech*

   1. Welcome/Introduction
   2. Award Presentation
   3. Keynote/Speaker
   4. Closing
   5. Other
8. Date and Time of Event*
   Date and Time of Event

   Date and Time of Event
9. City Manager should arrive at:*
   City Manager should arrive at:
11. If other, please provide more information:
13. Address of Event*
15. City*
16. State*
17. Zip Code*
19. Technology which will be available:

    1. Computer/Projector
    2. Microphone
    3. Podium
    4. PA System
    5. Presentation Remote
    6. Other
20. Any special parking arrangements or area?
22. If other please provide more information:
24. Estimated Number of People Attending
25. Audience Demographics
27. Suggested Attire

    1. Casual
    2. Business Casual
    3. Professional Attire
29. Please provide an event summary:
31. Event website link if applicable:
32. Suggested length of speech
34. Suggested topics, themes or ideas you think the City Manager should address:
35. Any special events, dates, or people the City Manager should include in his speech?
37. Do you need a copy of his presentation?

    1. Yes
    2. No
38. If yes, please provide the deadline date:
    If yes, please provide the deadline date:
39. Additional Notes:
43. Contact Person*
44. Title
46. Organization/Institution
47. Department/Division
49. Address
51. City
52. State
53. Zip Code
55. Phone Number*
56. Email *
Leave This Blank:


58. 1. Receive an email copy of this form.
59. Email address

    This field is not part of the form submission.

60. Submit

* indicates a required field