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2. If you would like to be put on the agenda to speak with the Mayor and Board of Alderman, please complete the following form. The request must be received by the Tuesday of the week prior to a Board of Alderman meeting.

6. First Name*
7. Last Name*
9. Phone Number*
10. Email Address*
12. Street Address
14. City
15. State
16. Zip Code
20. Agenda Item Title*
22. Requested Meeting Date (City Approval)*
    Requested Meeting Date (City Approval)
24. What result are you requesting from the board?*
26. Support Material Requested From the City
28. Who will be presenting or speaking on behalf of this request?*
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field