Brooklyn Community Board 9311

Speaker Request Form

Speaker Request Form

Note To All speakers: All those who wish to speak must sign up on/before 4:00 PM on the day of the meeting. This request form is only for monthly General Board and Executive meetings. If you wish to speak at one of the Board's committee meetings, attend the committee meeting of interest and you will have an opportunity to speak.

* Indicates required fields

Name*

Title

Address

City

State

ZIP Code*

Phone

Email*

I am representing*

Myself

Organization

Group

Agency

Elected Official

I would like to speak at the*

General Board meeting

Executive Committee meeting

Meeting Date*

Explain Issue*

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