I would like to address the PYMT Board of Directors regarding the following issue(s):

Topic(s):

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Name: _______________________________________

Email Address: _______________________________

Home Phone:    _______________________________

Work Phone:     _______________________________

Home Address:  _______________________________

                        _______________________________

                        _______________________________

This form must be submitted to PYMT Board President Steve Gray two (2) weeks before the next Board Meeting in order to be considered for inclusion in that Meeting’s agenda.

Statements that personally attack individuals, or do not relate to any PYMT business, are not appropriate for a Board Meeting.  Speakers may be asked to confine their remarks to issues that are related to PYMT business.