In completing your request, please be as comprehensive, detailed and specific as possible in your responses to questions included on the form. An acknowledgement of your request will be provided to you by email. While we appreciate a need for certainty regarding your request, please be assured that additional phone calls or invitations are not necessary unless requested. Please note that we cannot confirm events more than 6-8 weeks in advance. This form is used in a review process and is not a confirmation for the Councilmember's attendance.

We respectfully request that you do not use Councilmember Campillo's name on any public relations material (e.g., notifications, invitations or agendas) until you have received written approval from the Councilmembers office.

Items marked with an asterisk ( * ) are required.