2. Mayor's Office
   All Mayor Event Requests must be submitted two (2) weeks before the scheduled event and directed to the Mayor's Office as follows: City of Port Arthur Mayor, Port Arthur City Hall, 444 4th Street, Room 408, P.O. Box 1089, Port Arthur, TX 77641-1089, Phone: (409) 983-8105 Fax: (409) 983-8128, E-mail: christe.smith@portarthurtx.gov
6. Name of Organization*
8. Address*
9. City*
10. State*
12. Zip Code*
13. Phone Number*
14. Email Address*
16. Organization Website
17. Social Media Information
    Example: Facebook, Hashtag / Twitter Handle
21. Primary Contact: First Name*
22. Last Name*
24. Phone Number*
25. Email Address*
29. Event Information: *
    Please state the name and type of event.
31. Parking Locations:*
33. Address: Exact Location of the event.*
34. City*
36. State*
37. Zip Code*
38. Event Start Date*
    Event Start Date

    Event Start Date
39. Is the event date flexible? Choose One (1)*

    1. Yes
    2. No
41. Start Time:*
    Start Time:

    Start Time:
42. End Time:*
    End Time:

    End Time:
43. Time Mayor needs to speak*
    Time Mayor needs to speak

    Time Mayor needs to speak
45. Place of Event. Choose One (1)*

    1. Indoor
    2. Outdoor
46. Approximate number of attendees
47. Media Invited? Choose One (1)*

    1. Yes
    2. No
49. Other VIP Guests
    Please use a comma after each person listed.
53. Mayor's Role. Choose One (1)*

    1. Attend Only
    2. Bring Greetings / Welcome Address
    3. General Brief Remarks
    4. Keynote Address / Speaker
    5. Master of Ceremony
    6. Social Event / Meet & Greet

    1. Being Honored or Rewarded
    2. Recognize Without Speech
    3. Walk-through / Tour
    4. Planting / Digging
    5. Purpose of Event
    6. Event /Organization Background
55. Other:
    Please describe.
Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit Submit and Print

* indicates a required field