HomeMy WebLinkAboutSPEAKER FORMS 07-01-08~/~
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REQUEST TO SPEAK
Providing the following information is strictly voluntary. Only your name will appear in the
official Minutes of this Meeting. The other information may be used by staff to contact you.
Please complete and submit this form to the City Clerk/Recording Secretary.
AGENDA ITEM NO. ^ PUBLIC INPUT
IN FAVOR ^ OR OPPOSITION ~„TO MATTER? TODAY'S DATE ~ ~ /
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NAME ORGANIZATION
(if applicable)
HOMEWORK ADDRESS ~ ~ ~ ~ CITI(21P CODE ~U S>~ ~ ~ 2 ~ ~ `~
HOME ORK PHONE NO. ~~ ~- ~ ~~~ ~E-MAIL ADDRESS,
ase indicate one)