Delegation to Council Request Form

Name of Presenter:(Required)

First Last

Name of Organization (if applicable)

Name:

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email(Required)

Enter Email Confirm Email

Presentation Information

Please choose a Council Meeting date you’d like to present your delegation, and include any helpful information about the reason for the presentation and the number of people to attend as part of the presentation.

To view our Council Meeting schedule to determine the date you’d like to present your delegation, click here.

Preferred Meeting Date

at which you wish to appear (if known):

Number of person(s) expected to attend

Reason(s) for presentation:

To provide information

To request funding

To request letter of support

Other

If other, please note the reason for your presentation:

Resources

Projector and Screen (bring your own laptop)

Other

If other, please note additional resources needed:

Please submit the completed form and related presentation materials to the Manager of Corporate Services by 12:00 p.m. on the Thursday prior to the Council Meeting via email to rhonda.schell@anmore.com or delivered to Village Hall.

Comments

Please let us know what on your mind. Have a question for us? Ask away.

Personal information requested on this form is collected under the authority of Section 26 of the Freedom of Information and Protection of Privacy Act, as amended. The information gathered will be used to deliver or evaluate the program or activity of the Village of Anmore that is associated with this form. Questions about the collection, use, and disclosure of this information should be directed to village.hall@anmore.com

Delegation to Council Request Form

Presentation Information

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