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Request for Mayor or City Commission Participation

  1. Request for Mayor or City Commission Participation
  2. Name of Individual and/or Entity Making the Request

  3. This information will help us learn more about the company/organization. This can include history, mission, industry, years in Texas City, and/pr other relevant information. Include website links if possible.

  4. Enter the exact location (address) of where the event will take place. If the event will be virtual, please indicate the online platform that will be used (e.g. Zoom, Teams, etc..)

  5. If available, upload any flyer, program, or other resource about the event and your organization. 

  6. Is the event*
  7. Request Specifics
  8. Who are you requesting?*

    You can select more than one.

  9. Are spouses invited?*
  10. Who should be contacted with any questions on the day of the event? Include contact persons name, office, cell & work number.

  11. Will the elected official(s) be expected to speak?*
  12. Speaking Remarks Acknowledgement*
  13. Will there be other speakers at this event?*
  14. Photo Acknowledgement*
  15. Acknowledgement #1*
  16. Acknowledgement #2*
  17. * Indicates a required field
  18. Leave This Blank:

  19. This field is not part of the form submission.