2. Lobbyist: please enter a new record for each visit with a Miramar elected official.
4. Lobbyist Name
5. Lobbyist's Principal or Employer Name
7. Name of person or entity for whom/which you are lobbying
9. Elected Officials' Name
   -- Select One --Mayor Wayne M. MessamVice Mayor Yvette ColbourneCommissioner Winston F. BarnesCommissioner Maxwell B. ChambersCommissioner Darline B. RiggsMayor Lori C. MoseleyCommissioner Alexandra P. DavisCommissioner Troy R. Samuels
11. Name(s) of your employer and or principal to be present at a meeting with an elected official at which lobbying activity is to occur
13. Meeting Date and Time
    Meeting Date and Time

    Meeting Date and Time
15. Meeting Purpose or Subject Matter of the Meeting
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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

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