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<br />City of Miami Beach, 1700 Convention Center Drive, <br />Miami Beach, Florida 33139 www.miamibeachfl.gov <br />DEPARTMENT – City Clerk’ Office <br />Tel: 305/673 – 7411 Fax: 305/673-7254 <br /> <br />LOBBYIST CONTACT <br />INFORMATION CHANGE FORM <br /> <br /> <br />Name: __________________________________________________ <br /> <br />NEW Business Name: ______________________________________ <br /> <br />NEW Address: ____________________________________________ <br /> <br />NEW Phone: ______________________________________________ <br /> <br />NEW Email: _______________________________________________ <br /> <br />If more than one Lobbyist, please list: <br /> <br />1) _______________________________________________________ <br /> <br />2) _______________________________________________________ <br /> <br />3) _______________________________________________________ <br /> <br />4) _______________________________________________________ <br /> <br />Processed by: __________________________ <br /> <br />Date: _________________________________ <br /> <br /> <br />Send this form to the City of Miami Beach <br />1700 Convention Center Drive, Miami Beach, Florida 33139 <br /> <br />Tel: 305/673 – 7411 Fax: 305/673-7254 <br /> <br /> <br />City of Miami Beach, 1700 Convention Center Drive, <br />Miami Beach, Florida 33139 www.miamibeachfl.gov <br />DEPARTMENT – City Clerk’ Office <br />Tel: 305/673 – 7411 Fax: 305/673-7254 <br /> <br />LOBBYIST CONTACT <br />INFORMATION CHANGE FORM <br /> <br /> <br />Name: ________________________________________________ <br /> <br />NEW Business Name: ____________________________________ <br /> <br />NEW Address: __________________________________________ <br /> <br />NEW Phone: ____________________________________________ <br /> <br />NEW Email: _____________________________________________ <br /> <br />If more than one Lobbyist, please list: <br /> <br />1) _____________________________________________________ <br /> <br />2) ______________________________________________________ <br /> <br />3) ______________________________________________________ <br /> <br />4) ______________________________________________________ <br /> <br />Processed by: __________________________ <br /> <br />Date: __________________________________ <br /> <br />Send this form to the City of Miami Beach <br />1700 Convention Center Drive, Miami Beach, Florida 33139 <br /> <br />Tel: 305/673 – 7411 Fax: 305/673-7254