My Custom Layout

Contact Us

Lorem ipsum text goes here
smartcolumbus@columnus.gov
614.555.5555

First Name

Last Name

Phone

Zip

Message

Company

Number of Employees

Message

Model

Event Title

Organization

Date [None]

Start/End Time

Event Location

Are you a for-profit/nonprofit?

Describe Event

Describe Audience

Estimated Audience

Paid Admission

Please list event specific social handles and hashtags

Role of Speaker

Requested Topics

Requested Smart Columbus Speaker(s)

For Panel Requests: Please list and/or attach anticipated questions

Please list any supplemental presentation materials needed (i.e. slide deck, pre-read, printouts)

Will you cover expenses for requested speakers eg. air, hotel, car, meals

Additional information about your event you'd like to share with us:

Planning Contact

Planning Contact Work Phone

Planning Contact Cell Phone

Planning Contact Email

Onsite Contact

Onsite Contact Work Phone

Onsite Contact Cell Phone

Onsite Contact Email

Please note any associated deadlines