Meeting Request Form

Meeting Request Form
Name of the Person Who Would Like to Meet with the Councilmember*

First NameLast Name
Title*
Organization*
Phone*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact Person and Information
If the point of contact for the meeting will not be the person in the meeting, please include contact information here.
What Ward do you live in?
Scheduling Requests and Constraints
Please include any scheduling constraints or requests here.
Meeting Purpose*

Please tell us the purpose of this meeting.0/150
Who will be attending the meeting? *

Please include titles and organizational affiliations, if relevant.0/150
Is there any additional background information we should have?*

0/150
Please attach any additional documents

Upload a File
Not required, but if you have additional background information, plase include it here. Cancelof
Should be Empty: