BOARD OF HOLLYWOOD HILLS WEST NEIGHBORHOOD COUNCIL
SPEAKER CARD
If you would like to speak at a HHWNC Board of Directors Meeting on an Agenda item, please fill out this form and submit it to the Neighborhood Council Secretary at the meeting. Please print this page or download an Acrobat PDF file.
Date: _____________
Agenda Item #: _____________
  1. I wish to speak ___ for,   ___ against,  ___ provide general comments regarding this item on the agenda. 
  2. I do NOT wish to speak, but want to be recorded as:  ___ for  ___ against this item.
  3. I wish to speak during Public Comment time on issues not on the agenda, but which are within the Board's jurisdiction ___.
Name: ____________________________________________
Business or
Organization
Affiliation:		 ____________________________________________
Street Address: ____________________________________________
City, State Zip: ____________________________________________
Business Phone: ____________________________________________
Representing: ____________________________________________
Email: ____________________________________________

CHECK HERE ___ IF YOU ARE A PAID SPEAKER; AND PROVIDE CLIENT INFORMATION BELOW:
Client Name: ____________________________________________
Client Phone #: ____________________________________________
Client Street: ____________________________________________
Client City, State Zip: ____________________________________________


NOTICE OF LOBBYING REGISTRATION

If you are receiving compensation to make this appearance, the City's municipal lobbying ordinace (L.A.M.C. Section 48.01 et seq., as amended) may require you to register and report your lobbying activity. For more information about the City's lobbying law, contact the City Ethics Commission at (213) 978-1960, by fax at (213) 978-1988, or at 200 N. Spring Street, Rm 2410, Los Angeles, CA 90012. Information about lobbying the City of Los Angeles may also be found on the Internet by accessing the Ethics Commission website on the City of Los Angeles "home page" at http://www.lacity.org
COMMENTS FOR THE RECORD
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