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2. Presentation Request Form
   Reimagining Public Safety Community Task Force

   Interested in a presentation from members of the Reimagining Public Safety Community Task Force? Please submit meeting details below and a staff liaison will follow up with you.

   Requests will be sent to all task force members. Members sign up on a first come first served basis.

   Learn more about the Reimagining Public Safety Community Task Force: http://www.ci.richmond.ca.us/4011/Reimagining-Public-Safety

4. CONTACT INFORMATION
6. First Name*
7. Last Name*
9. E-mail Address*
10. Phone Number*
12. MEETING INFORMATION
14. Meeting or Event Name*
15. Date and Time*
    Date and Time

    Date and Time
17. Maximum Number of Presenters*
    -- Select One --12345678910

    Select "10" if you do not have a preference.

18. Preferred Confirmation Date*
    Preferred Confirmation Date

    Let us know what date by which you would like us to confirm task force members' participation.

20. Type of Meeting or Event*

    1. Virtual
    2. In Person
21. Meeting Address*
23. Virtual Meeting Information*

    Please copy and paste the virtual meeting information here. Enter "TBD" if the link has not been created yet.

25. Presentation Duration*
26. Q&A Duration*
28. Other Information

30. Upon receipt of your submission, a staff liaison will contact you via e-mail, usually within 2 business days.

Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field