HomeMy WebLinkAboutSPEAKER FORMS 2CITY 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 1 _
NAME r -L-- e)kt e9 ORGANIZATION
(if applicable)
HOMEIWORK ADDRESS CITY/ZIP CODE
HOMEWORK PHONE NO. E-MAIL ADDRESS ,
(please indicate one)
t 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 \ \ Ian
NAME % / /)A U L4` IV _71ORGANIZATION
Of applicable) c
HOMEWORK ADDRESS ZIP CODE
HOMEWORK PHONE NO. E-MAIL ADDRESS
(please indicate one)