Speaker Appearance Form

2. Online submissions to speak in front of the City Council must be submitted by 4:30 p.m. on the date of the City Council meeting. If it is after 4:30 p.m., those wishing to speak at the meeting must fill out a hard copy at the meeting and return it to the City Clerk or Deputy City Clerk.

4. Subject:*

   Please describe what matter you wish to address the City Council

5. Date*
   Date

7. Testifying*

   1. In Support Of
   2. In Opposition To

8. On Behalf Of*
   -- Select One --MyselfBusiness or Organization

10. Speaker Information

12. First Name*

13. Last Name*

15. Business or Organization You are Representing

    Only use this line if you are speaking on behalf of a business or organization. Leave blank if speaking for yourself.

17. Address*

    Use home address if you are speaking on your own behalf. Use Business/Organization Address if representing a Business/Organization

19. City*

20. State*

21. Zip*

23. Phone Number*

24. E-mail Address*

Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field