Leon County Delegation Meeting SPEAKER REQUEST FORM
Tuesday, January 19, 2021 - 5PM ET
***Due to the County Building closure and other safety concerns we have moved the Leon County Delegation meeting to a completely virtual format!***
Sign in to Google to save your progress. Learn more
Please complete this form if you or your organization wish to speak and/or present information to the Leon County Legislative Delegation. 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 Leon County Legislative Delegation are open to the public, please understand that space will be limited due to social distancing. A Zoom link is available upon request to Senator Ausley’s office. In an effort to practice social distancing, virtual attendance is encouraged.***
Are you submitting this form on behalf of someone else? *
Clear selection
Form Submitter's Contact Information (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 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 by January 15, 2020 at 5p.m. ET. (Norman.Katelyn@flsenate.gov).

***All meetings of the Leon County Legislative Delegation are open to the public.***

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.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy