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City of Charlotte

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


District 5 Council Member Marjorie Molina Event Request Form

Thank you for contacting the Office of District 5 Council Member Marjorie Molina. 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 and Time

Date Picker

Event Remarks Requested

Duration of Remarks

Upload File(s)

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Requestors Full Name