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2. Meeting Date*
   Meeting Date

   Please add the meeting date

3. Agenda Item Number or Topic*

   Please add the agenda item number if known

5. First Name
6. Last Name
8. Representing
10. I wish to:

    1. speak in favor
    2. speak in opposition

    1. speak (only if necessary) in favor
    2. speak (only if necessary) in opposition

    1. not speak, but I want to register my position in favor
    2. not speak, but I want to register my position in opposition
12. Please Note:

    This document becomes a public record. Disclosure of the following information is optional but would enable the Chairman or County Staff to reach you if necessary.

14. Address
16. City
17. State
18. Zip Code
20. Phone Number
21. Email Address*
23. When Speaking

    Please state your name for the record, be brief, stay on the subject and present only new information. The Chairman reserves the right to ensure that all testimony is pertinent and not repetitive in order for the matter to be handled fairly and expeditiously. If you have any questions concerning the meeting or procedures, please call COB office at 602-506-3766 or email agenda.comments@maricopa.gov.

25. Guidelines for Speakers

    Pursuant to the Arizona Open Meeting Law, Board members may not discuss matters raised under the “Call to the Public” portion of the meeting; however, an individual Board member may respond to criticism made by those who have addressed the Board, ask staff to review an issue raised or may ask that the matter be placed on a future agenda. (Public comment is at the discretion of the Chairman.) Thank you for participating in today’s meeting.

    1. Comments may only be offered in meetings with Public Hearings. Additional “Call to the Public” comments may be submitted to the Board by email at Agenda.Comments@maricopa.gov
    2. Public comment will be limited to two minutes per speaker. The time clock or staff will provide a 10 or 15 second warning before your time is up so that you may conclude your comments accordingly.
    3. Each speaker will be called up in an expeditious manner.
    4. Your comments may not be addressed to other members of the public. In addition, no profanity will be tolerated. Everyone is asked to present their comments in a respectful and courteous manner.
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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field