Mayor's Scheduling Form

If you would like to request a meeting with or schedule an event with Mayor Michael A. Nutter please complete the on-line form we have provided for your convenience. If you are unable to complete the form please send us a written request by mail (City Hall, Office of the Mayor, Rm 215, 19107) or fax (215-686-2180).  Please include your contact information (name, address, telephone number, email address), the date of event, the start and end time of the event, the location of the event, the name of your organization, and a description of the event. 

Please note that we typically determine his availability two to four weeks from the date of the event or meeting. 

Contact Information  
First Name
Last Name
Organization
(If applicable)
Mailing Address:
 (Please provide exact address)
Street
City
State
Zip Code
Telephone: Work
Cell
Fax
Email Address
(please include)
   
Meeting/Event Information
Date of Event/Meeting
Please use MMDDYYYY format
Start Time
End Time
Meeting Title
Event Location (Street, City, State, Zip
 
Type of Function:
 
Event Description:
Please describe the basic nature and purpose of the event.
What would you like Mayor Nutter to do at this event? (e.g., speak, greet, panel discussion, etc.)
How many people do you expect to attend this event?