Delegation Meeting SPEAKER REQUEST FORM
Speaker Request form for the 2021-22 Delegation Meetings for Calhoun, Franklin, Gadsden, Gulf, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla counties
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Please complete this form if you or your organization wish to speak and/or present information to the Legislative Delegation. (PLEASE BE SURE TO SELECT THE COUNTY THAT APPLIES.) If you have any questions regarding the information requested on this form, please contact Senator Ausley's office at 850-487-5003. ***All meetings of the Legislative Delegation are open to the public, please understand that space will be limited due to social distancing.***
Which County Delegation are you looking to attend? *
Required
Would you like to attend virtually?
Are you submitting this form on behalf of someone else? *
Clear selection
If you are not the presenter (Name, Phone Number, Email Address)
Presenters Full Name *
Organization Name *
Phone Number *
Email *
Address *
Topic of Presentation *
Will documents be provided prior to presentation? (Please send to ausley.loranne.web@flsenate.gov) *
Please provide a brief summary of presentation/comments *
Be sure to click "Submit" and thank you for your submission!
REMEMBER: Information and handouts for those presenting must be emailed to Senator Ausley's office the day before to (ausley.loranne.web@flsenate.gov.)

***All meetings of the Legislative Delegation are open to the public, please understand that space will be limited due to social distancing.***

Pursuant to Article 1, Section 24 of the Florida Constitution, this document and the information contained herein and any documents submitted for the Delegation Meeting, are public record.

By submitting this form I understand that Florida has a very broad public records
law and all information provided herein (including attachments) are public record.
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