City of Dallas Public Meeting/Speakers Card

CITY OF DALLAS
PUBLIC MEETING/SPEAKER CARD

Click here for Speaker Guidelines Print Preview For Help, please contact the City Secretary's Office at 214-670-3738

Meeting Date:

(MM/DD/YYYY)

Translator: Language:

No Yes

*Requested Time to Speak

Morning/Beginning

Afternoon/End

Agenda Item

Registration is only allowed for the next City Council Meeting *Note: City Council Briefing Meetings may conclude before 12 noon.

CONTACT INFORMATION

*Name of Speaker:

Title:

First Name:

MI:

Last Name:

Suffix:

Residence Address:* If providing an address, these fields are required.

Street No:*

Street Name:*

Apt/Suite:

POBox:*

City:*

State:

Zip Code:*

Telephone:*If providing a telephone number, these fields are required.

Area Code:

Phone Number:

Extension:

City Council District:

*How would you like to be contacted?
VideoconferenceIn Person

*Email:

*REPRESENTATION/SUBJECT/ITEM DETAIL

Whom do you represent:

Subject:

Agenda Item(s):

Zoning Item(s)
   AGAINST CPC Recommendation
   FOR CPC Recommendation
   Not Applicable

FOR OFFICE USE ONLY:	Recent Appearance:
Signed Up By:	City Council District Verified: Maps USPS/Zip Other
Meeting Type:
Regular/Briefing Public Hearing Special

"* Required"