Constituent Speaking Request

Meeting Type (Select the meeting you will be attending from the dropdown below)

Select the meeting you will be attending from the dropdown below

Agenda Date

Agenda Item

Enter agenda item # you would like to speak/comment on (If commenting on multiple items, please separate each item with a comma)

First Name

Last Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email

Phone

State Your Position Below

Support

Oppose

Neutral

Will you be calling into the meeting?

Yes

No

Comments