City of Hastings - Board/Commission Request

Request to Serve on a City Board
or Commission

Date of Request:		(00/00/00)
Board:
Contact Name:
Phone:
Email:
Mail to:		Name
		Address Line 1
		Address Line 2
		City
		State
		Zip
Description:
Security Code:	REQUIRED- Please enter the security code (case sensitive):

When this form is submitted it will be electronically sent to the Mayor's Office.
Please submit requests with appropriate notice of three weeks.
You will receive an e-mail confirmation of your request.

Request to Serve on a City Board or Commission

Request to Serve on a City Board
or Commission