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Request to Speak Columbia County Board of Commissioners or Committee Meeting Anyone desiring to speak before the Board is limited to five minutes and must fill out this form which should be given to the county clerk prior to the start of the meeting. Comments should provide relevant information regarding their position and should avoid being repetitious. If a group wishes to speak, one person must be designated to speak for the group. Please speak into the microphone and adjust as needed. You may submit the request by: Mail: PO Box 498 Evans, GA 30809 Phone: [PHONE REDACTED] Fax: [PHONE REDACTED] Drop Off: Commission Office – 4th Floor Building A Evans Government Center Complex E-Mail: [EMAIL REDACTED] When you are recognized, please step to the podium, and state your name and address. If a group is represented, one person must be selected to speak on behalf of the entire group. Each speaker is limited to five minutes. Meeting Date: Name: Address: Daytime Phone: E-Mail: Representing: □ Self □ Group (please provide the name of the group you are representing) Topic: □ Favor □ Oppose Concerns: Recommendations: A Community of Pride ♦ A County Vision ♦ Endless Opportunities Professionalism ♦ Respect ♦ Integrity ♦ Dedication ♦ Excellence