CITY OF LOS ANGELES SPEAKER CARD
/d-ccc^-s//^
NOTE: THIS IS A PUBLIC DOCUMENT SUBJECT TO POSTING ON THE CITY’S WEBSITE.
YOU ARE NOT REQUIRED TO PROVIDE PERSONAL INFORMATION IN ORDER TO SPEAK,
EXCEPT TO THE EXTENT NECESSARY FOR THE PRESIDING OFFICER TO CALL UPON YOU
Date
V
A
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THE CITY COUNCIL’S RULES OF
DECORUM WILL BE ENFORCED.
Council File No., Agenda Item, or Case No.
-32
---------------------------------
I wish to speak before the
Name of City Agency, Department, Committee or Council
6
Do you wish to provide general public comment, or to speak for or against a proposal on the agenda? (
Name
__
) For proposal
Business or Organization Affiliation:___________________________________________________________________________
Address:____________________________________________________ ._____________________________________________
City
Street
Business phone:
State
Representing:
CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:
Client Name:________________________________________________________________________ Phone#:
Client Address:_______________________________________________________________________________
Street
City
State
Please see reverse of card for important information and submit this entire card to the presiding officer or chairperson.
CITY OF LOS ANGELES SPEAKER CARD
NOTE: THIS IS A PUBLIC DOCUMENT SUBJECT TO POSTING ON THE CITY’S WEBSITE.
YOU ARE NOT REQUIRED TO PROVIDE PERSONAL INFORMATION IN ORDER TO SPEAK,
EXCEPT TO THE EXTENT NECESSARY FOR THE PRESIDING OFFICER TO CALL UPON YOU
THE CITY COUNCIL’S RULES OF
DECORUM WILL BE ENFORCED.
Council File
22
Item, or Case No.
I wish to speak before the_______________ _____________________________
Name of City Agency, Department, Committee/br Council
Do you wish to provide general public comment, or to speak for or against a propi
Name:
genda?( )Fpr proposal
vf^2Against proposal
( pGfeneral comments
Business or Organization Affiliation:
Address:______________________
Street
City
State
Business phone: _____________________ Representing:______________________________________
CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:
Client Name:________________________ _______________________________ _______________ Phone #:____________
Client Address:__________________________________________________________________________________________
Street
C;ty
State
Zip
Please see reverse of card for important information and submit this entire card to the presiding officer or chairperson.
CITY OF LOS ANGELES SPEAKER CARD
NOTE: THIS IS A PUBLIC DOCUMENT SUBJECT TO POSTING ON THE CITY'S WEBSITE.
YOU ARE NOT REQUIRED TO PROVIDE PERSONAL INFORMATION IN ORDER TO SPEAK,
EXCEPT TO THE EXTENT NECESSARY FOR THE PRESIDING OFFICER TO CALL UPON YOU
THE CITY COUNCIL'S RULES OF
DECORUM WILL BE ENFORCED.
tenda Item, or Case No.
Council Fil
I wish to speak before the
Name of City Agency, Department ^Committee or Council
) For proposal
) Against proposal
) General comments
Do you wish to provide generaf public comment, or to speak for or against a proposal on the agenda? (
(
Name:
Business or Organization Affiliation:
Address:______________________
Street
City
State
Business phone:_____________________ Representing________ ___________ __________
Zip
_
CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:
Client Name:
Phone #:
Client Address:
Street
City
State
Zip
Please see reverse of card for important information and submit this entire card to the presiding officer or chairperson
CITY OF LOS ANGELES SPEAKER CARD
NOTE: THIS IS A PUBLIC DOCUMENT SUBJECT TO POSTING ON THE CITY’S WEBSITE.
YOU ARE NOT REQUIRED TO PROVIDE PERSONAL INFORMATION IN ORDER TO SPEAK,
EXCEPT TO THE EXTENT NECESSARY FOR THE PRESIDING OFFICER TO CALL UPON YOU
r‘4-6
THE CITY COUNCIL’S RULES OF
DECORUM WILL BE ENFORCED.
I wish to speak before the
__ Council
51
_
—
Name of City Agency, Department, Committee or Council
Do you wish to provide general public c QjjUigljL or to speal
speak for or against a proposal on the agenda? (
(
Name:___________________________
) For proposal
) Against proposal
) General comments
Business or Organization Affiliation:
Address:
Street
City
State
Zip
Business phone: _____________________ Representing:_______________ _______________________
CHECK HERE IF YOU ARE A PAID SPEAKER AND PROVIDE CLIENT INFORMATION BELOW:
Client Name:_______________________________________________________ ________________Phone #:____________
Client Address:__________________________________________________________________________________________
Street
City
State
Zip
Please see reverse of card for important information and submit this entire card to the presiding officer or chairperson.