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Who would you like to attend the event:

Rebecca R.Smothers, Mayor
John Faircloth, At Large
Latimer Alexander, At Large
Bernita Sims, Ward 1
Ron Wilkins, Ward 2
Michael D.Pugh, Ward 3
Bill Bencini, Ward 4
M. ChristopherWhitley, Ward 5, Mayor Pro Tem
Lisa Stahlmann, Ward 6

Event Information:

Date of Event:
Time Event Begins: Time Event Ends:

Name of Event:

Location of Event:

Sponsor of Event:

Contact Information:

First Name
Last Name

Mailing Address:

City State Zip

E-mail Address
Phone Number