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2. Meetings Public Comment Form
   Please complete this form if you would like to provide your comment on an item to be discussed at a Boulder City Council, Committee or Commission meeting. Comments should be addressed to the Council as a whole, not to an individual member. Thank you for your cooperation and participation.
4. The Mayor and Boulder City Council request that all comments are expressed in a courteous manner. If you choose to comment, messages are limited to five minutes each.
6. 
8. First Name
9. Last Name*
11. Email Address*
13. Phone Number
15. Address*
17. City
18. State
19. Zip
21. If you are representing someone other than yourself, please indicate who you are representing (i.e. family member, organization).
23. Do you wish to speak?*

    1. Yes
    2. No
25. Meeting Date and/or Function
    Please enter the meeting date and/or type of meeting (i.e. Planning, Pool) here.
27. Agenda Item: If unsure of the item, please view the agenda at www.bcnv.org/agendacenter. If you do not want to speak to a specific agenda item, please type "General Public Comment" below. *
29. Opinion*

    Please state if you support or oppose the agenda item for which you are commenting.

    1. Support
    2. Oppose
    3. No position: Concerned or Neutral
31. Your Comment
33. Affirm*

    By checking the "Yes" option below, you agree that all the information above is true and accurate, and that you understand it will be used in the public record. For additional information, please refer to the agenda for the meeting.

    1. Yes
    2. No
35. Do you wish to sign up to receive future agendas and news items from the City of Boulder City?

    Checking "Yes" will open a new window at https://www.bcnv.org/list.aspx

    1. Yes
    2. No
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field