Sign Up to Testify Form

Upcoming Meetings

Select the item on which you wish to testify from this list. Testimony will be taken only for the items below.*

October 17 - Item 4 - Zoning Text Amendment No. 19-06: Vape Shops, Bill 29-19: Health and Sanitation – Electronic Cigarettes - Distribution
October 24 - Item 2 - Bethesda Market, Sketch Plan No. 320190030

Speaker Information & Mailing Address

Name*

First Last

Affiliated Group/Business/ Agency:

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email

Testimony Information

Subject of testimony

Group Represented (if applicable)

Speaker Type*

FOR APPLICANTS ONLY: Will others be with you when you testify? If they wish to testify with you, please list their names here

Is your testimony in support of any other individual or group testifying at this meeting?

Yes
No

If yes, please specify

Thank you for your interest in speaking before the Planning Board. We would like to remind you that once you have signed up to speak, your name becomes part of the official record. If you wish to continue, click "Submit".