Climate Action and Adaptation Plan Meeting In A Box Request

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* 1. Primary Contact Information

Name

City/Town

ZIP/Postal Code

Email Address

Phone Number

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* 2. Community Group Name

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* 3. Type of Organization

Non-Profit

Academic

Religious

Sport

HOA/Neighborhood

Work/Professional

Other (please specify)

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* 4. Presentation Request Type

I would like to lead a meeting for my organization

I would like City Staff to lead an in person meeting

I would like City Staff to lead a virtual meeting

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* 5. Meeting Location

Location Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

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* 6. Preferred Date #1

Date / Time

Date

Time

AM/PM

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* 7. Preferred Date #2

Date / Time

Date

Time

AM/PM