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Request to Speak at a Meeting

If you are interested in appearing in person at a Council or Standing Committee meeting to present information or an opinion on a matter, please fill in the form below.

Please note: Your request must be submitted by 4:30 p.m. 10 days prior to the Committee or Council meeting.

Full Name:

Who are you representing?

Self

Group/Organization

Street Address:

Town/City:

Postal Code:

How would you like us to contact you?

Telephone

Presentation Details

Which meeting would you like to present at?

Requested Meeting Date:

What is the presentation topic?

Do you have a presentation (slide deck)?

Yes

Have you presented before on this topic?

Yes

Please provide details on your presentation. Include questions or requests of the Committee or Council.

Collection of Personal Information

Personal information on this form is collected under the authority of Section 6 of the Township of West Lincoln's Procedural By-Law for the purpose of contacting individuals and/or organizations requesting an opportunity to appear as a delegation before a Committee or Council.

Any questions about the collection, use and disclosure of personal information should be addressed to the Township Clerk:

Email: clerk2@westlincoln.ca
Telephone: 905-957-3346

Form Builder

Request to Speak at a Meeting

Presentation Details

Collection of Personal Information