2017 Lake County Legislative Delegation Hearings

2017 Lake County Legislative Delegation Hearings

Appearance/Comment Card
Monday, August 28th, 2017

Public Hearing from 1:30pm-4:00pm

Please complete this form if you wish to speak and/or present information to the Lake County Legislative Delegation. If you have any questions regarding the information requested in this form, please contact Rep. Sullivan's office at 352-742-6275.

Please mail all documentation to:
State Representative Jennifer Sullivan
2775 South Bay Street, Unit D.
Eustis, FL 32726
Form Submitter Contact Information: Name, Phone, Email *If submitting on behalf of someone
Presenter's Full Name*

TitleFirst NameLast Name
Organization Name*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Request to speak*

Yes, please add presenter's name to the agendaNo, submit information only
Topic of Presentation*
Please provide a brief summary of presentation/ comments*
Will provide support documentation*

Yes, 6 copies will be delivered to Rep. Sullivan's Office by August 21stYes, 6 copies will be mailed to Rep. Sullivan's Office by August 16thNo
Appearance cards are available for members of the public wishing to speak. Speakers will be limited to a maximum of three (3) minutes or less depending upon the number of speakers.

Pursuant to Article 1, Section 24 of the Florida Constitution, this document, and the information contained herein, is a public record.
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