City of Valley Park

SPEAKERS REQUEST

(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.