Online Form - Deputation to Council

First name:*

Surname:*

Contact Number:*

Email address:*

Date of Council Meeting you would like to present your Deputation at:*

Subject (include Agenda item number if known or relevant):*

Is this Deputation to 'Support' or 'Oppose' the recommendation?

SupportOppose

Full name of Speaker 1:*

Full name of Speaker 2:

Full name of Speaker 3:

Full name of Speaker 4:

Full name of Speaker 5:

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