Required fields are marked with asterisks (*)

Presentation Request Form

Please complete this form for a presentation request. Any written submissions and background information for consideration by Committee or Council must be submitted to the Clerk's office 14 days prior to the requested meeting.

Information is collected under the authority of The Municipal Freedom of Information and Protection of Privacy Act. Questions about the collection of personal information should be directed to the Clerk at 519-925-2600.

What is your first name

What is your last name?

What is your phone number?

What is your address?

What is your email address?

Which Council meeting would you like to attend?

Please state the purpose of your presentation request (state your position taken on issue, if applicable)

Personal information contained on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act. This sheet and any additional information provided will be placed on the Council agenda. The agenda is a public document and forms part of the permanent public record. Questions about this collection should be directed to the Clerk at 519-925-2600

Town Hall

203 Main Street East

Shelburne, ON L9V 3K7