Cobb County Board of Commissioners

100 Cherokee Street Marietta, GA 30090

Chairwoman Lisa N. Cupid
Event Participation Request

Event Name

Event Date & Time (see note below)

Requested Remarks Start & Length

Start Time *

Length *

Attire (Formal/Business/Casual)

Event Topic / Purpose

Sponsoring Organization

Name *

Website *

Nature of the Organization/Mission

Location Details, Parking Instructions, etc.

The role of the Chairwoman at the Event

Featured/Keynote

Brief Remarks/Greetings

Panel Discussion

Recognized Guest

Your Contact Information

Name *

Position/Title *

Phone Number - Work

Phone Number - Mobile/Cell

Details of the Event

Event Includes

Breakfast

Lunch

Dinner

Reception

If Breakfast/Lunch/Dinner

Buffet

Plated/Table Service

Audience Size

Other Officials or Special Guests

Key People Attending

Media Organizations expected to attend

Thank you for your interest in having the Chairwoman participate in your event.

Note: Please be advised that Chairwoman Cupid’s schedule is subject to change due to unforeseen circumstances. In the event she is unable to attend, she will designate a representative to attend on her behalf.

If you have questions, contact: Janine Ramsay janine.ramsay@cobbcounty.org

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Chairwoman Lisa N. Cupid Event Participation Request

Your Contact Information

Details of the Event

Chairwoman Lisa N. Cupid
Event Participation Request