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Agenda Request Form
I do hereby request that the item listed below be placed on the agenda dated as shown, so that I may be afforded the opportunity to address the Board of Directors of the City of Hot Springs:
Name:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Item to be placed on the Agenda:
(Please describe, in detail, the item you wish to present and the action you are seeking from the Board of Directors. Attach any additional material supporting your request.)
Requested Date to Appear:
(Board meets first and third Tuesday of each month)
Signature:
Date:
I agree that all information above is correct.
Deadline for
submission
is noon on Monday one week prior to the
requested
board meeting.
QUESTIONS?
Call the City Clerk's office at 501-321-6805.
