HomeMy WebLinkAboutSPEAKER FORMS 02-17-09CITY OF TUSFTI'N
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 `/
NAME s � n'
ORGANIZATION
(if applicable)
HOMEWORK ADDRESS ,��
/ �` E-MAIL ADDRESS
(please indicate one)
CITY OF TuSTIN
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 E] OR OPPOSITION [] TO MATTER? TODAY'S DATE o
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NAME ORGANIZATION
(if applicable)
HOMEIWORK ADDRESS CITY/ZIP CODE
HOMEWORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
CITY OF TUSTI'N
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 I C),n
NAME �'�'' �`�� ORGANIZATION
*(if applicable)
HOMEfWORK ADDRESS !�'' A<)6"6-, CITY/ZIP CODE ^ OWN-
HOMEWORK PHONE NO. t. ;W 21 E-MAIL ADDRES
(please indicate one)