City of Valley Park


(Pease Print Clearly, Give to Mayor or Chairman)

Agenda Topic I Would Like to Address:  ______________________________


Name:  __________________________________________________________


Address:  ________________________________________________________




Telephone Number:  ______________________________________________


Comments Are to be Limited to (2) Two Minutes or Less

Please Fill Out a Speaker Card For Each Agenda Topic You Wish to Address
NOTE: Your request may require Action by the Board which it cannot legally take 
     this evening, if this is the case your request may be referred into committee 
     tonight and placed on the agenda of the next or another Board meeting. We
     will attempt to keep you informed of progress being made on your request.