HomeMy WebLinkAboutSPEAKER FORM CITY OF TuSTIN
REQUEST TO SPEAK
Providing the follow4ig information is st6ctly vduntary, Only your name will appear in the
official Min kites of anis Meeting he other inforrnation may be Used by staff to contactyou .
Please cornplete and subMit this form to the City ; rk/Recording Secretary
..........................
AGENDA ITEM NO, 0 PUBLIC INPUT
IN FAVOR OR OPPOSITION
TO Ir"T'ER? TODAY'S DATE
NAME
(if appkable)
HOMEMORK ADDRESS ITY/ZIP CODE
tOMEANORK PHONE NO, MA�L ADDRESS
............
(please indicate one)