Please enable JavaScript in your browser to complete this form.The form must be submitted by Noon on the Monday before the Public Hearing or any Public Meeting with a scheduled public comment period. Failure to pre-register accurately may result in a speaker not being permitted to speak. One form must be submitted for each public hearing. Public Hearing/ Public Meeting Locations: County Administration Building 100 West Washington Street Hagerstown, MD 21740 An asterisk (*) indicates a required field. I am registering to speak at the Public Hearing before the Board of County Commissioners *YesNoI would like to speak before the Board of County Commissioners at the following Public Hearing or Public Meeting with a scheduled public comment period: * *--- Select Choice ---November 10, 9:30 am - Application for Forest Conservation Ordinance Text Amendment FCO-26-001November 17, 9:30 am - Application for Zoning Map Amendment RZ-26-004Are you a citizen, representing a business, or representing an organization? (copy) *CitizenBusinessOrganizationAccurate Legal Full Name *FirstLastAccurate Home Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail * I or am Topic/Concern (Topic/concern must be related to the subject matter of the Public Hearing or the Public Meeting with a scheduled public comment period.) *If speaking on behalf of your business, please provide the following: Accurate Legal Full Name *FirstLastEmail *Business Name *Business Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeTopic/Concern (Topic/concern must be related to the subject matter of the Public Hearing or the Public Meeting with a scheduled public comment period.) *If speaking on behalf of an organization or group, please provide the following:Accurate Legal Full Name *FirstLastEmail *Organizational/Group Name *Organization Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeTopic/Concern (Topic/concern must be related to the subject matter of the Public Hearing or the Public Meeting with a scheduled public comment period.) * *Submit