HomeMy WebLinkAboutSPEAKER FORM 3-28-17 I
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CITY OFTUSTIN
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REQUEST'
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Providing the foillowing information is strictly voluntary. Only your name will appear,i
offie' l Minutes "s Meeting 'The, other informationi may be used by staffto contact you
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Please compliete and submit this form to the City, coy i .
AGENDA, I INPU�g
IN FAVOR,0 OR OPPOSITIONMATTER? YSDATE
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NAM E ORGANIZATION
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(ifapplic able)
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HO,ME,IWOR,K ADDRESS Y/ZIP CODE
H :. JE. RK 'A N N E NO. ' E-MAIL ADA D E
(please indicate,ca ones