HomeMy WebLinkAboutSPEAKER FORMS 08-15-05
CITY OF TUSTIN
REQUEST TO SPEAK
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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. 0 -
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HOMEIWORKPHONENO. *&-- E.MAILADDRESS
CITY OF TUSTIN
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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.
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AGENDA ITEM NO. 0 - PUBLIC INPUT 0
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IN FAVOR 0 OR OPPOSITION 0 TO MATTER? TODAY'S DATE ~/ / -9'2) 5'
NAME VI þ 6' ~ ¡:}/<. cJ ORGANIZATION
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HOME/WORKADDRESS CITYIZIPCODE <;?;f7çL}
HOMEIWORK PHONE NO.
(please Indicate one)
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E-MAIL ADDRESS
CITY OF TUSTIN
REQUEST TO SPEAK
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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.
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AGENDA ITEM NO. 0 - PUBLIC INPUT 0
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CITY OF TUSTIN
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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.
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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.
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AGENDA ITEM NO. 0-
PUBLIC INPUT ~
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IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
ORGANIZATION
(if applicable)
E-MAIL ADDRESS ...þ, / / J
CITY OF TUSTIN
REQUEST TO SPEAK
v
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.
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AGENDA ITEM NO. 0 - PUBLIC INPUT 0
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HOME/WORK ADDRESS
HOMEIWORK PHONE NO. .
(please indicate one)
E-MAIL ADDRESS
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.
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AGENDA ITEM NO. 0 -
PUBLIC INPU~
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TODAY'S DATE 8'-) $""- 05
NAME þclR l o..AJ (ntJ(LTOV ORGANIZATION
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HOMEIWORK PHONE NO.
(please indicate one)
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E-MAIL ADDRESS