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2. Request a Meeting with the Mayor

   Note: Please give us a minimum of two weeks to review and follow up. 

4. First Name*
5. Middle Initial
6. Last Name*
7. Suffix
9. Organization Name:*

   Type N/A if it's not involving an organization.

11. Address:*
13. City*
14. State*
15. Zip*
17. Email*
18. Phone Number: *
20. Topic of Discussion:*
22. Format of Meeting:*
    -- Select One --In-Person (at the Mayor's Office - Norwich City Hall)Virtual
23. Priority Level:*
    -- Select One --HighMediumLow
25. Dates and Times: *

    Please give us a few dates and times you prefer.

27. Note: Once request is approved you will be contacted by the Mayor’s office.

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field