FORM - ND/AIP 21

NEW DIVISION TOWN MEETING

AGENDA INITIATING PROCEDURE

NAME

NICKNAME

Years Present at ND

Years Remembered

Agenda Item Requested

Agenda Item I will Settle for

Time to allocate for discussion

^ 2 min

^ 5 min

^ 8 min

^ 20 min

^ 11 hrs

Time before I use the “F” word

^ 30 sec.

^ 2 min

^ 5 min

^ 10 min

^ 15 hrs

Time before I’m declared out of order

^ 10 sec.

^ 1 min

^ 3 min

^ 5 min

^ 10 min

Substances I propose to ingest

^ Botox

^ Estrogen

^ Viagra

^ Vioxx

^ Prozac

Illicit substances I wish I was ingesting

^ Mescaline

^ Acid

^ Pot

^ Amphetamines

^ Skunk Cabbage

Obnoxious attitudes I will exhibit

^ Grandstanding

^ Snoring

^ Drooling

^ Farting

^ Interrupting

Political prejudices you can expect from me

^ Rush Limbaugh

^ Huey Newton

^ Steve Apter

^ Dubya

^ Bill Kennedy

Respectfully submitted by: __________________________

Date submitted: __________________________________________

ND/AIP 21 Routing:

^ Accepted for Discussion

^ Circular File

^ Recycle for Paper Plane

^ Shredder

^ Mail to Annette