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Delegation Request Form

The Delegation Request Form and any written submissions or background information for consideration by either South Huron Council or committees of Council must be received by the Clerk's Office by noon on the Tuesday prior to the requested meeting date.

What is your preferred meeting and date to appear as a delegation?

What is the subject/application of your delegation?

What firm / organization are you representing (if any)?

Name:

Address:

Postal Code:

Email:

Phone:

Do you require any accessibility accommodation? Do you require any accessibility accommodation?

Yes

Should you require assistance completing this form, please contact the Clerk at 519-235-0310, ext. 227.

Personal information on this form is collected under the legal authority of the Municipal Act, as amended. This information is collected and maintained for the purposed of creating a record that is available to the general public, pursuant to Section 27 of the Municipal Freedom of Information and Protection of Privacy Act. Questions about this collection should be directed to the Clerk, at 322 Main Street S, Exeter ON N0M 1S6, 519-235-0310

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