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MEETING AGENDA REQUEST FORM

* Indicates required field

Today's Date *

Date of Meeting to Attend *

Which Board will you be addressing? *

Name *

First

Last

Name of Organization, if applicable *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone *

Email Address *

Brief description of topic to be discussed. *

Documents

Please attach any documents that you wish to be considered. Providing factual and background information will be helpful in reviewing your agenda request and will better prepare the Board of Commissioners or County Council members at the meeting.

upload file *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Please note:

Please limit your time to 10 minutes when presenting to the Board. Submission of this form does not insure that you will be added to the meeting agenda. You will be contacted to confirm your request. Thank you.

If you wish to be included in the Commissioner’s agenda, please submit your request by noon on the Wednesday prior to the Monday meeting.

If you wish to be included in the County Council’s agenda, please submit your request by noon on the Friday before the Wednesday meeting.

Questions? Call 812-571-5035.

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MEETING AGENDA REQUEST FORM

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