HomeMy WebLinkAbout21 - NB-4 - Attachment 2 - 8/4/2015Attachment 2
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CAL AIGMRN U[A CITY:
ITIES
2015 ANNUAL CONFERENCE
VOTING DELEGATE/ALTERNATE FORM
Please complete this form and return it to the League office by Friday, September 18, 2015,
Forms not sent by this deadline may be submitted to the Voting Delegate Desk located in
the Annual Conference Registration Area, Your city council may designate one votin
delegate and up to hvo alternates.
in order to vote at the Annual Business Meeting (General Assembly), voting delegates and alternates must
be designated by your city council. Please attach the council resolu(ion as proof of designation. As an
alternative, the Mayor or City Clerk may sign this foray affinnflng that line designation reflects the action
taken by the council
Please note: Vothng delegates and alternates will be scaled in a separate area at the Annual Business
Meeting. Admission to this designated area will be limited to individuals (voting delegates and
altornntes) who are identified with a special sticker on their conference badge. This sticker can be
obtained only a( the Voting Delegate Desk.
1. VO'T'ING DELEGATE
Name:
Title:
2. VO'T'ING DELEGATE - AL'T'ERNATE 3. VOTING DELEGATE - ALTERNATE
Name:
Title:
PLEASE ATTACH COUNCIL, RESOLUTION DESIGNATING VOTING DELEGATE
AND ALTERNATES,
OR
ATTEST: I affirm that the information provided reflects action by the city council to
designate the voting delegate and alternate(s).
Name:
E -trail
Mayor or City Clark,_Phone:
(circle one) (signature)
Date:
Please complete and return by Friday, September 18,201
League of California Cities FAX: (916) 658-8240
ATTN: 10yla Gibson E-mail: kgibson@cacities.org
cacities.org
1,100 K Street, 41" Floor (916) 658-8247
Sacramento, CA 95814