2. Request to Appear as a Delegation at the Electoral Area Services Committee
4. Electoral Area Services Committee meetings are held on the first and third Wednesdays of each month starting at 1:30 p.m. in the CVRD Boardroom at 175 Ingram Street, Duncan.
6. Please Note: Contact information supplied by you and submitted with this form will become part of the public record and will be published in a meeting agenda that is posted online when this matter is before the Electoral Area Services Committee. If you do not wish this contact information disclosed, please contact the CVRD Information & Privacy Officer at 250.746.2517 or 1.800.665.3955 to advise.
8. Meeting Date*
   Meeting Date
10. Contact Information
12. Contact Name*
13. Representing
15. Number Attending
    -- Select One --12345More than 5
17. Address
19. City
20. Province
21. Postal Code
23. Telephone Number
24. Reply Email*
26. Presentation Topic and Nature of Request*
28. Do you have a PowerPoint presentation?

    1. Yes

    1. No
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30. 1. Receive an email copy of this form.
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