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Delegation Request Form

In order to facilitate constructive and effective public engagement, delegations have a ten minute time limit. Please try to leave time for questions. Note that the name of person &/or group along with the topic will be published and made public in the agenda package.

* Full Name
Group Name
* Phone Number
- -
* Email
Address
Address
Country Province/State
City Postal/Zip Code
* Presentation Topic
* Purpose
  • Information only
  • Request for Letter of Support
  • Funding request
  • Other (provide details below)
Additional Detail
Meeting Date Requested
/ /
* Supporting Documentation
  • Handouts will be provided at meeting (14 copies required)
  • Publication to be included in agenda (due 10 days in advance)
  • Verbal only
* Equipment Required
  • Laptop (Microsoft Windows 7, Office 2010/13, Adobe)
  • Multimedia Projector (standard VGA connection, 1/8" stereo mini)
  • Flip Chart &/or Easel
  • Will provide own equipment
  • None
* Agreement
  • I understand & agree to these terms (as outlined on www.scrd.ca/Public-Input).
* Today's Date
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