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2. First Name*
3. Last Name*
5. Business Name
7. Phone*
8. Email*
10. Address
12. City
13. State
15. Zip Code
17. Date You Would Like to Appear*
    Date You Would Like to Appear
18. City Council meetings are held on the second and fourth Tuesday of each month at 7:00 pm.
20. Topic You Would Like to Address Before Council*
22. Handouts
    Please attach the document(s) you would like to hand out during your presentation.
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

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