SIGNATURE :
I confirm that one of the above-mentioned conditions applies to me and as such, I request to exercise my right to vote by mail.
Please return this form before October 27, 2021.
Signature: ______________________________ Date: ______________________
I understand that the envelope containing the mail-in voting ballots must be received at the Returning Officer's office by 4:30 p.m. on November 5, 2021. Any envelope received after this time will be voided.