2. Speaker's Request Card

3. City Council meeting of:
   City Council meeting of:
5. Name
6. Phone Number
7. Email Address
9. Address
11. Representing

    (Name or Organization)

12. Regarding

    (Item Number)

13. Public Comment

    (Item not on agenda)

15. Topic

    1. For
    2. Against
16. Topic

20. All requests for translation services shall be made by 4 pm the Thursday prior to the meeting. If translation is not requested prior, Staff will try to accommodate the request if possible. 

21. Language Preference

    1. English
    2. Spanish
    3. Mandarin
    4. Cantonese
    5. Tagalog
    6. Vietnamese
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit Submit and Print

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