HomeMy WebLinkAboutSPEAKER FORMS �w
CMTS" OF TST'I
REQUEST TO SPEAK:
Providing the following) information is strictly voluntary. Only your name will appear in the
official Minutes of this fleeting, The ether 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 TG MATTER? TODAY'S DATE ...,. _..�� _w �... ........_ ..._
NAME
ORGANIZATION .. ..
(if applicable)
HOME/WORK ADDRESS .... � CITY/.ZIP CODE-- ° . ��
. ... t° °
(ply ase indli+cate one) FIN
CITY F 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.
Pleasecomplete and submit this form to the CityClerk/Recording Secretary.
AGENDA ITEM NO,'P � PUBLIC INPUT �
IN FAVOR OR OP'P SITIION E]TO MATTER? TODAY'S DATE,___69
INANE " ° ORGANIZATION �
(if applicable)
HOME/WORK ADDRESS CITY/ZIP CODE.�
,
/V
HO,ME/ ORN PHONE NO. E-MAIL ADDRESS .
(leasee Inds ate one)