Request To Address Council For items to be posted On the City Council Agenda Due to the Winfield City Hall by noon on the Thursday prior to the Council Meeting  MA  Submit to: City Clerk Email: yetrkewinteactyers Fax: 205-487-0202 Phone: 205-487-4337  GABAM  Location: Winfield City Hall-1 111 Bankhead Highway  Name:  Residence Address:  Subject ofitem to be discussed:  Council Meeting Date at which you wish to speak:  Signature:  Date Form Submitted: Time Form Submitted: Disclaimer:  By submitting this request to address City Council, Iagree that I will keep my comments to the subject listed. I will refrain from the use of any obscene. vulgar. or profane language. Iunderstand that ifl do not follow this procedure. my speaking time may be terminated and Imay be requested to sit down or be removed from the  building. Iunderstand that my comments will become part oft the official record. City Council Procedure for Citizen Comment on an Agenda Item: 1. Fill out form completely and turn in to the City Clerk prior to discussion oft the item 2. Wait for the Mayor to call your name to approach the podium 4. You will have fiye minutes to address Council  3. State your name and address  To Be Completed by City Clerk's Office  Date Form Received: Time Form Received: