Invitation Requests Name * First Name Last Name Phone * (###) ### #### Email * Organization * Website http:// Topic or Purpose * Requested Duration of attendance * Event Information * Start Date MM DD YYYY Start Time * Hour Minute Second AM PM End Date * MM DD YYYY End Time * Hour Minute Second AM PM Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Is Council member Karina Talamantes requested to speak? * Yes No Requested Speaking Duration * Anticipated Number of Attendees * Elected or Public Official attending * Will press be invited? * Yes No Website of event * http:// Additional Background info for the Council member * Thank you!