Wilmington Neighborhood Council Speaker's Card
Please fill out this form and it will be forwarded to the Board. Note: Information on this card is to allow the presiding officer to call your name and recognize you to speak at the appropriate time and for any follow-up contact that may be necessary to help resolve an issue you brought up. Please note: Providing personal information, other than your name, is not required to speak before the Governing Board.
Date of Meeting at which you wish to speak:
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Month
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Day
Year
Date
Name
*
First Name
Last Name
Phone
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Area Code
Phone Number
E-mail
Address
Street Address
Street Address Line 2
City
Zip Code
Do you wish to provide general public comment?
*
Yes
No
Or do you wish to provide comment on an Agenda Item? If Yes, please state Agenda Item #.
Yes
No
Agenda Item #
*
Submit
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