Mayor Coleman's Schedule Request Form

1. Thank you for contacting Saint Paul Mayor Christopher B. Coleman to schedule an event appearance. Please complete all required fields.

2. Event Information

3. Event Name:*

4. Event Sponsor:*

5. Event Location:*

6. Event Nature:*

7. Dates and Times

8. Event Date:

9. Month*
   -- Select One --JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

10. Day*
    -- Select One --01020304050607080910111213141516171819202122232425262728293031

11. Year*

12. Event Start Time:*

13. AM / PM*
    1. AM
    2. PM

14. Program Time:*

15. AM / PM*
    1. AM
    2. PM

16. Event End Time:*

17. AM / PM*
    1. AM
    2. PM

18. Event Facts

19. What is the estimated attendance?*

20. Is the Mayor being asked to speak at the event?*
    1. Yes
    2. No

21. Amount of Mayor speaking time*

22. Is the Mayor the keynote speaker?*
    1. Yes
    2. No

23. Who will be introducing the Mayor?*

24. Is the event open to the public?*
    1. Yes
    2. No

25. Event Speakers*

26. Is the event open to the media?*
    1. Yes
    2. No

27. What type of event will this be? (Check all that apply)*
    1. Breakfast
    2. Lunch
    3. Dinner
    4. Meeting
    5. Reception
    6. Award Ceremony
    7. Press Conference
    8. Annual Event
    9. Rally
    10. Parade
    11. Fundraiser
    12. Conference
    13. Other
28. Other event type

29. Event Description*

30. Mayor's role*

31. Additional Comments

32. Attach a flyer

33. Contact Information

34. Full Name*

35. Organization*

36. Address*

37. City*

38. State*

39. Zip Code*

40. Day time contact phone number*

41. Alternate phone number?*

42. Email address?*

Leave This Blank:


43. 1. Receive email copy
44. Email address

45. Submit

* indicates a required field