2. 
4. Invite the Mayor to an Event

   Mahalo for inviting Mayor Bissen to your event. Your request will be reviewed upon receipt and a member of our team will provide a response within 10 days of your request. All requests must be submitted at least four (4) weeks prior to the requested event date. Please note that we will be unable to process incomplete or inaccurate entries. Required fields are marked with an asterisk (*) and MUST be filled in.

8. Event Name*
10. Event Date*
    Event Date
12. Event Start Time*
    Event Start Time

    Event Start Time
13. Event End Time*
    Event End Time

    Event End Time
15. Date you need response by: *
    Date you need response by:
17. Event Location*
19. Event Address*
21. Address2
23. City*
24. State*
25. Zip*
27. Description and Purpose of Event:*
29. Please upload program (Timeline of Your Event)*
30. Will you be requesting a commemorative message?*

    1. Yes

    1. No

    checking yes, you will be directed to our Commemorative Message Request form after submission of this form.

32. Attire?*
34. Sponsoring Organization Name*
36. Organization Address*
38. City*
39. State*
40. Zip*
42. Organization Telephone*
44. Organization Website:
48. Brief Description of Organization*
50. Event Coordinator Name*
52. Coordinator Email*
54. Coordinator Telephone*
56. Role of the Mayor*

    1. Attend only
    2. Honoree
    3. Speaker
    4. Other
57. Other
59. Expected Audience Size*
61. Audience Description*
65. Is this event open to the media?

    1. Yes
    2. No
66. Is the event indoors or outdoors?

    1. Indoors
    2. Outdoors
67. Is this event open to the public?

    1. Yes
    2. No
69. Specific topic(s) you would like the Mayor to discuss?
71. Speaking start time on the agenda?
    Speaking start time on the agenda?
72. Length of speaking time?
74. Will there be other elected officials in attendance? If yes, who?
78. Please note:

    The Office of the Mayor reserves the right to accept or decline any request, regardless of whether a similar request was accommodated in previous years. We also reserve the right to edit submitted text for length, accuracy, etc. Completion of this form does not guarantee approval. 

Leave This Blank:


82. 1. Receive an email copy of this form.
83. Email address

    This field is not part of the form submission.

84. Submit

* indicates a required field