HomeMy WebLinkAboutRequest to speak formREQUEST TO SPEAK
SENIOR ADVISORY COMMISSION
Meeting Date: y a
Item No. t Subject: A t-Oa l- Sw&t-4A&A- 4X0J ia0's
➢ If you would like to address the Senior Advisory Commission, complete this form and
submit it to the Administrative Assistant.
➢ Speakers are asked to limit their remarks to three minutes.
➢ When your name is called, please approach the rostrum and give your name and address for
the record. -v Nj c)
I wish to address the Commission
[] I do not wish to speak, but would like to register my opinion:'`
o In favor o In opposition
Name: </ AA
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Address: f e City:
Email: IL;