Scheduling Request

First Name

Last Name

Organization

Title

Email

Phone

Address

City

Zip Code

Event Subject or Title

Brief Description

Event Goal

Event Date

Brief Description

Event Start Time

Event End Time

Venue Name

Venue Address

Expected Number of Attendees

Expected To Speak? * Yes No

Expected To Present Award/Certificate/Proclamation? * Yes No

Suggested Topic of Remarks

Requested Length of Remarks

Exact Timeslot for Remarks

Other Elected Officials or Noteworthy Individuals Invited

Open To The Public? * Yes No

Will Media Be Invited? * Yes No

Please Provide Any Other Relevant Information

* Required Field

County Administration Center

1600 Pacific Hwy
Room 335
San Diego, CA 92101

Office Hours: 9:00 a.m. to 5:00 p.m.

Email: Terra.Lawson-Remer@sdcounty.ca.gov

Phone: 619-531-5533

Website: supervisorterralawsonremer.com

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