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2. Name*
4. Phone*
6. Email
8. Home Address*
10. City*
11. State*
12. Zip Code*
14. Meeting Date *
    Meeting Date
16. Which item do you wish to address?*

    1. General Comments (Regular Meeting Only)
    2. Agenda Item
18. If Agenda Item is selected, what Agenda Item will you be speaking on?
20. Agreement*

    1. I agree to this statement

    I acknowledge that, if called to speak, I will only speak to the agenda item noted above in accordance with the City of Rosenberg Rules of Procedure, and that my comments will be limited to a maximum of three (3) minutes, except that a speaker who addresses the City Council through a translator is limited to six (6) minutes. I agree that I will not indulge in personalities, use language personally offensive, question motives of Members of the City Council, staff or the public, charge deliberate misrepresentation, or use language tending to hold a member of the City Council, staff or the public up to contempt. I understand that if I violate these rules, I am subject to removal from the City Council meeting.
22. Note

    Forms submitted online will be accepted up to 5:30 p.m. on the day of the City Council Meeting. No online submittals will be accepted after such time.  Any documentation you wish to provide should accompany this form when you present it to the City Secretary. This document provided becomes public record and is recorded with materials regarding the City Council.

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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

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