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Required fields are marked with asterisks (*)

Event Invitation Form

Contact Information

First Name

Last Name

Organization Name

Phone Number

E-Mail

Event Details

Name of Event

Purpose of Event

Date of Event (mm/dd/yyyy)

Start Time

End Time

Event Location

*Please note that a minimum of three weeks’ notice before the event date must be given in order to determine the Mayor’s availability.

Greetings

Would you like the Mayor to speak at your event?

Yes

If so, what time during the event will the Mayor be scheduled to speak?

What would you like him to speak about?

Contact for the event (if different than above)

If the Mayor is unavailable, would you like the Acting Mayor to attend?

Yes

Personal information on this form is collected under the authority of Section 10(1) of the Municipal Act, 2001, S.O. 2001, c.25, as amended and will be used to contact you concerning your service request and or inquiry to the City of Brantford. Questions about this collection should be directed to:

Administrative Coordinator, Office of the Mayor and CAO
City of Brantford
Brantford City Hall
100 Wellington Square
Brantford, ON N3T 2M2
Telephone: 519-759-4150
Email officeofthemayor@brantford.ca: For questions specific to the collection of personal information