HomeMy WebLinkAboutREQUEST TO SPEAK JORDAN i oil
CITY OF TUSTIN
REQUEST TO SPEAK
Providing the raowing information is strictly voluntary, Only your name will Ipear 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 Oty Clerk.
AGENDA ITEM NO. IM PUIBLIC INPUT
'r IC(S) IN WHICH YOU WOULD LIKE TO ADDRESS THE CITY COUNCIL:
IN FAVOR r-1 0 OSITION: TO MATTER? TODAY'S DATE
NAME ORGANIZATION
(if applicable)
HOM�ENVORK ADDRESS 11� CITYIZIP CODE
HOMEAMORK PHONE NO,. ADDRESS
(please indicate one)
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