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Speaker/Comment Registration Card

2. In an effort to take precautionary measures to mitigate the spread of COVID-19 at public gatherings and still fulfill necessary government functions with full transparency, the City of Cleburne is providing the ability to fill out and submit the following speaker/comment registration card. If submitted no later than an hour before the start of the meeting, your public comments/questions will be considered during the specified item's discussion. If attending in person, you may speak at the time the Council considers the item on the agenda or at the beginning of the meeting under Citizens Comments.
4. First Name*
5. Last Name*
6. Today's Date*
   Today's Date
8. Company Name and/or Address*
10. City*
11. State*
12. Zip Code*
14. Phone # (optional)
15. Email (optional)
17. Meeting Date*
    -- Select One --09/23/21 Museum Advisory Board
18. Posted Agenda Item?*
    -- Select One --YesNo
19. Agenda Item #
21. I do not wish to speak on this item, but please record my:

    1. Support
    2. Opposition
22. I am the petitioner/vendor for this item and only wish to speak if requested

    1. Yes
24. Questions/Comments*
    If you have questions or need further assistance contact the City Secretary at citysecretary@cleburne.net or 817-645-0908.
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

* indicates a required field