6-28-23 Speaker FormsSPEAKER REQUEST FORM
IF YOU WISH TO ADDRESS THE CHARTER REVIEW COMMITTEE ON ANY MATTER AT THIS
MEETING, PLEASE COMPLETE AND GIVE THIS FORM TO THE SECRETARY PRIOR TO THE MEETING.
**********************************************************************************************************************
Date: 623 Name:
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local
business are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INFORMATION BELOW IS OPTIONAL:
Address.-
Phone
ddress:
Phone No.
Subject to be addressed:
Email:
City:
SPEAKER REQUEST FORM
IF YOU WISH TO ADDRESS THE CHARTER REVIEW COMMITTEE ON ANY MATTER AT THIS
MEETING, PLEASE COMPLETE AND GIVE THIS FORM TO THE SECRETARY PRIOR TO THE MEETING.
Date: U Name:G ► v, ��"`
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local
business are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INN%FORMATION BELOW IS OPTIONAL:
;��//Address: //f �/" ""! City:
Phone No.
Subject to be addressed:
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Email:
SPEAKER REQUEST FORM
IF YOU WISH TO ADDRESS THE CHARTER REVIEW COMMITTEE ON ANY MATTER AT THIS
MEETING, PLEASE COMPLETE AND GIVE THIS FORM TO THE SECRETARY PRIOR TO THE MEETING.
**********************************************************************************************************************
Date: Name:
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local
business are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INFORMATION BELOW IS OPTIONAL:
Address:
Phone No.
Email:
Subject to be addressed:
JJ,0-F0--" 5- .t 6 d -J
City:
SPEAKER REQUEST FORM
IF YOU WISH TO ADDRESS THE CHARTER REVIEW COMMITTEE ON ANY MATTER AT THIS
MEETING, PLEASE COMPLETE AND GIVE THIS FORM TO THE SECRETARY PRIOR TO THE MEETING.
**********************************************************************************************************************
Date: CO Name:
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local
business are public records available to the public and media upon request.
PROVIDING YOUR CONTACTINFORMATIONBELOW IS OPT AL:
Address: L l3- DS "I� City: - A
Phone No. Email:
Subject to be addressed:
SPEAKER REQUEST FORM
IF YOU WISH TO ADDRESS THE CHARTER REVIEW COMMITTEE ON ANY MATTER AT THIS
MEETING, PLEASE COMPLETE AND GIVE THIS FORM TO THE SECRETARY PRIOR TO THE MEETING.
*********************************************************************************************************************
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Date: (,��,2�r �,�a� Name:
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local
business are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INFORM TION BELOW IS OPTIONAL:
Address: YCity:
Phone No.
Subject to be addressed:
Email:
SPEAKER REQUEST FORM
IF YOU WISH TO ADDRESS THE CHARTER REVIEW COMMITTEE ON ANY MATTER AT THIS
MEETING, PLEASE COMPLETE AND GIVE THIS FORM TO THE SECRETARY PRIOR TO THE MEETING.
Date
Name.-
Please
ame:
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local
business are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INFORMATION BELOW IS OPTIONAL:
Address: �� City: ! ) Cc4L_-4l fi±dtL,
Phone No. ISS- `"/90 2 Email:
Subject to be addressed: