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2. First Name*
3. Last Name*
5. Organization (If Applicable)
7. Email Address*
8. Phone Number
10. Purpose of Meeting*

    Brief description of the issues, questions, or concerns you’d like to address.

12. Location Preference*

    1. In Person- City Hall
    2. Virtual- Teams/Zoom
    3. Other
13. Duration of Meeting (approximately)*

    1. 15 minutes
    2. 30 minutes
    3. 60 minutes
15. Attendees

    If there is any additional Hobart representatives you would like to be in attendance or if there will be any additional attendees besides yourself, please include their name and role.

17. Additional Notes or Special Requests
Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

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