2. REQUEST TO BE ON CITY COUNCIL AGENDA
   (Must be made no later than 12:00 noon on the Friday prior to the council meeting)
4. Date of Request*
   Date of Request
   Today's Date
5. Meeting Date*
   Meeting Date
7. Speaker's Name*
9. Address 1*
10. Address 2
12. City*
13. State*
14. ZIP Code*
16. Speaker's Phone Number*
17. Speaker's Email Address
19. Matters to be discussed*
21. From Rules of Procedure, Rule 5. Public Address to the Council
23. Request must state the nature of the specific comment/question/concern that will be addressed*

    (You will not be able to discuss matters that are not listed on your request)

    1. I understand this rule.
25. A person may speak on any subject regarding the city and municipal government, but may not address the same issue more than once every four weeks*

    1. I understand this rule.
27. Remarks shall be limited to five (5) minutes*

    1. I understand this rule.
29. All remarks shall be addressed to the council as a whole and not to any member*

    1. I understand this rule.
31. No question may be directed to any council member, the mayor, or a city employee without the permission of the president*

    1. I understand this rule.
33. Whenever any group of persons wishes to address the council on the same subject, the president may request that a spokesperson be chosen by the group or may limit the numbers of persons addressing the council.*

    1. I understand this rule.
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field