Village Council Agenda Form

Village Council Agenda Form

Village of Fairmont City, IL
Date

MonthDayYear
Date
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Business Representing
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nature of Comment
Comment
THIS FORM MUST BE COMPLETED 72 HOURS PRIOR TO THE SCHEDULED COUNCIL MEETING TO BE PLACED ON THE AGENDA.
Should be Empty: