Skip to form

City of Charlotte

corporatecommunications1@ci.charlotte.nc.us

600 East Fourth Street, , Charlotte, NC, 28202, US

704-336-7600

At-large representative Dimple Tansen Ajmera​​ Event Request

Thank you for contacting the Office of At-large representative Dimple Tansen Ajmera​​. In an effort to expedite your request, we ask that you answer the below questions completely. Requests will not be reviewed prior to receiving complete information. Event requests should be made at least four weeks prior to the start date.

Completion of this form does not guarantee acceptance or confirmation of request.  You will be contacted within ten business days.

Is this an Annual Event?

Address of Event

Event Date & Time

Date Picker

Event Remarks Requested

Duration of Remarks

Attachments: (5MB Max Limit)

Click Here to Upload

Requestors Full Name

Be sure to verify that you are not a robot by using the Captcha tool at the below.
Having reCaptcha issues? Click here to reset the widget.