2025-2026 IN MEMORIAM

2025-2026 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