2. 

4. If you wish to address the Community Services Commission, please complete this electronic form and submit it no later than one hour prior to the meeting. Generally there is a three (3) minute time limit per person per item, unless waived by the Commission Chair. In order to comply with the time limit, electronic submission should be 300 words or less. Under the Brown Act, the Commission is prohibited from discussing or taking action on any item not listed on the posted Agenda.

6. NOTE: This is a Public Document

   All information provided on this card is considered public information and may be disseminated.

8. Date of Meeting*
   Date of Meeting
9. Please select one of the following:

   1. Support
   2. Do Not Support
11. Agenda Item #*
12. Topic
14. Name
16. Address (Optional)
18. E-mail Address (Optional)
19. Telephone Number (Optional)
21. Comments*
23. Please select one of the following:

    1. Resident
    2. Non-Resident
    3. Other
24. (Self, Name of Organization or Other Party)
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

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