Public Hearing Sign Up

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Public Hearing Sign Up Form

The form must be submitted by Noon on the Monday before the Public Hearing. Failing to pre-register accurately may result in a speaker not being permitted to speak at the Public Hearing.

I am registering to speak at the Public Hearing before the Board of County Commissioners

Yes
No

County Administration Building
100 West Washington Street Hagerstown, MD 21740

Public Safety Training Center
18350 Public Safety Place,
Hagerstown, MD 21740

Accurate Legal Full Name *

First

Last

Accurate Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

Topic/Concern on Home

Email *

Topic/Concern (Topic/concern must be related to the subject matter of the Public Hearing) *

If speaking on behalf of your business, please provide the following:

Business Name

Business Address

Address Line 1

Address Line 2

City

State

Zip Code

Topic/Concern (Topic/concern must be related to the subject matter of the Public Hearing)

If speaking on behalf of an organization or group, please provide the following:

Organizational/Group Name

Topic/Concern (Topic/concern must be related to the subject matter of the Public Hearing)

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