4. Voting Accreditation Form

This form will be used by the FCM Secretariat to prepare voting
credentials for the Edmonton Conference. Please complete and
return it to this office as soon as your Council has decided who
will vote on its behalf.

Post Conference Tour Information

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FEDERATION OF CANADIAN MUNICIPALITIES

41ST ANNUAL CONFERENCE

NOTING DELEGATE ACCREDITATION FORM

Name of Member: Crvy oF Roar Coguztian

Population: as, 00D

Number of Voting Delegates Permitted: a

Please read this form carefully and fill in as required.

The following conditions will be in force during the 4lst Annual
Conference.

(i) All interested persons are free to attend the Conference.

(24) Only member delegates will have the right to speak on
matters discussed during the Conference.

(114) Only accredited delegates will have the right to vote on .
any matter decided Ly the General Assembly.

{iv) Only members of a municipal council or of the ruling body
(Executive or Board) of a Provincial Association may be
accredited.

We hereby appoint the following ; (maximum of a )

persons as voting delegates to the 4list Annual Conference
(please type).

In the event that one or more of these persons is unable to attend,
we authorise . tO name a replacement allowing
for the four conditions stipulated above,

Signed by:

Date: