HomeMy WebLinkAboutSPEAKER FORMS 09-06-11CITY 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 q
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IN FAVOR ❑ OR OPPOSITION F1TO MATTER? TODAY'S DATE—YJ
NAME MPO( '0 r-4�a(n _ORGANIZATION
(if applicable)
HOMEIWORK ADDRESS
CITY/ZIP CODE
HOMEIWORK PHONE 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
........... I ............... _................._.................._ _....._... _ ......_............................I......... ........._.............
OR OPPOSITION TO MATTER? TODAY'S DATE
IN FAVOR ❑ ❑ I
NAME
'(-L Ge ) �e ORGANIZATION v
(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,
.........................................._ I.....,... .- _ ....... _ ._ _........ _ ......__ .......
.....C.. ....... _ .. ... ......
IN FAVOR OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME hC4 r S `'�-ORGANIZATION(//�L' �S
(if applicable)
HopMORK 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 ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE I `
NAME �'r e Y C� �- `� 5 1 �- ORGANIZATION
(if applicable)
HOMEWORK ADDRESS
E-MAIL ADDRESS
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 ❑
................................................................................................................................................................................................................................. .
I* FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
�NAME cl�� \ ORGANIZATION 1 S�
(if applicable)
HOME/W*1W ADDRESS
^ ` E-MAIL ADDRESS
(please Indicate one)