Invite the Mayor

Modesto City Council - Speaker Request Form

  1. Contact Information

  2. Provide a brief summary of your organization.

  3. About Your Event

  4. Please provide a detailed description of your event.  Please share a flyer/program if one is available.

  5. Provide details of expected audience members (e.g. members of a community/nonprofit group, Chamber members, Realtor Association members, etc.

  6. Details of Speaking Request

  7. Please indicate Mayor or a specific City Councilmember.

  8. Would you be willing to accept another speaker (City Councilmember), if the Mayor is unable to participate?
  9. Enter expected Start and End times.

  10. Time for Q&A?*
  11. You may provide more details regarding the requested speaking topic(s) here.

  12. Event Format

  13. Special Requests
  14. Leave This Blank: