HomeMy WebLinkAboutSPEAKER FORMS 11-06-06CITY OF TUSTTIN
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. ❑ PUBLIC INPUT L�?�
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE � 0
NAME / GANIZATION
(if applicable) —
HOMENVORK ADDRESS / CODE ✓�S �/ C,, /
HOMEWORK PHONE NO. �'� E-MAIL ADDRESS
(please indicate one)
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.
AGENDA ITEM NO. ❑ Y MY. PUBLIC INPUT C » M
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME C'1 AA (A .L� 11ORGANIZATION
(if applicable)--�--
HOME/WORK ADDRESS `QGITY2IP CODE !4_
HOMEWORK PHONE NO. / ! E-MAIL ADDRESS
(please indicate one)
It/
CITY OF TUSTI
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.
AGENDA ITEM NO. ❑ PUBLIC
IN FAVOR ❑ OR OPPOSITION ❑ TO/MATTER?
NAME
HOMS/WORK ADDRESS
TODAY'S DATE
;GANIZATION
(if applicable)
CITY0P CODE
HOMEWORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
,✓
CITY OF TTI
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.
AGENDA ITEM NO. ❑ PUBLIC INPU�
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE ' ' a /O L
NAME
HOMEWORK ADDRESS
(if applica
CITY/ZIP CODE
HOMEWORK PHONE NO. E-MAIL ADDRESS
(please indicate one)