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Request to Present - Northeast Area Commission
This form is designed to gather information for requesting time to speak before the Northeast Area Commission. Each speaker will be allotted a maximum of 5 minutes. Please complete the form below in full.
* Indicates required question
Email
*
Record my email address with my response
Today's Date
*
MM
/
DD
/
YYYY
Presenter's Name
*
Your answer
Name of Organization
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Subject or Presentation
*
Your answer
Please provide a sentence or two outlining the nature and goal(s) of the presentation. This information will become part of the official record of the proceedings and will be considered a public record
*
Your answer
The Northeast Area Commission
typically
meets on the second Thursday of every Month (Excluding August and December). Please know that we will make every effort to include your presentation on your desired date, however it may be necessary to accommodate you on an alternative date.
What is the desired month for your presentation?
*
January
February
March
April
May
June
July
September
October
November
I understand that I and my presentation may be live-streamed and recorded via the Northeast Area Commission's Facebook page, and a copy of the recording may be maintained on Northeast Area Commission's Facebook and organizational drives.
*Please indicate your acknowledgment.*
*
Yes
No
I understand that the information provided above will become part of the official record of the proceedings and will be considered a public record.
*Please indicate your acknowledgement.*
*
Yes
No
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