HomeMy WebLinkAboutSPEAKER FORMS 1_2CITY OF TUSTIN
REQUEST TO SPEAK
Providing the following information is strictly voluntary. Only your narhe will appq LN in the
official Minutes of this Meeting. The other information may be used by staff to confect you.
Please complete and submit this form to the City Clerk/Recording Secretary.
AGENDA ITEM NOA 3 PUBLIC 11 INPUT ❑
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME L� ORGANIZATION
��(if applicable)
HOME/WORK ADDRESS � ZIP CODE � //�
E
HOME/WORK PHONE NO. '`- E-MAIL ADDRESS
(please indicate one)
CITY OF TUSTIN C�
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. El S PUBLIC INPUT ❑
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DA'
NAME °lJy � ORGANIZATIOI`
�` Q (if applicable)
HOMEWORK DRESS � CITYIZIP CODE
HOMEWORK PHONE NO. E-MAIL ADDRESS
(please indicate one)