Full Name or Name of Organization
*
If you are a constituent please share your name. If you are speaking on behalf of an organization please share your organization's name.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Person Speaking
*
Name of person who will be speaking at the meeting.
Contact Person
*
Name of the person of contact regarding topic/issue.
Email Address
*
Please share your email to receive updates on the Delegation Agenda
Phone Number
*
Please enter a valid phone number.
Registered Lobbyist
*
Please Select
Yes
No
Are you or your organization registered as a lobbyist? Select yes or no.
Topic of Presentation/Issue
*
Describe the issue/topic you will be addressing with the Delegation.
Are you submitting documents for members to review?
Please Select
Yes
No
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