2024-2025 IN MEMORIAM

Association of Manitoba Municipalities

2024-2025 In Memoriam Roll
Municipal Contact*
Email Address of Contact*
example@example.com
MEMBER TO BE RECOGNIZED
NAME*

First NameLast Name
TITLE of Member: If the member served under two or more titles during the years of service, please indicate the details here. Example: Councillor/Mayor*
Title(s) of Member
MUNICIPALITY of Member*
Please select *Other* if the member served on a previously named council and make your selection from the next field.
*Other* If the individual served on council for a previously named municipality, please select the municipality here:
YEARS OF SERVICE of Member: *
Please enter all years of service, example 1999-2014 OR multiple years, 1974-1980/1996-2000
Once you have made your entry, click the green "SUBMIT" bar to submit your completed form.
Should be Empty:

MEMBER TO BE RECOGNIZED