2. Request to Appear as a Delegation at the Cowichan Core Recreation Commission
4. Please Note: Contact information supplied by you and submitted with this form will become part of the public record and will be published in a meeting agenda that is posted online when this matter is before the Cowichan Core Recreation Commission. If you do not wish this contact information disclosed, please contact the CVRD Information & Privacy Officer at 250.746.2517 or 1.800.665.3955 to advise.
6. Meeting Date*
   Meeting Date
8. Contact Information
10. Contact Name*
11. Representing
13. Number Attending
    -- Select One --12345More than 5
15. Address
17. City
18. Province
19. Postal Code
21. Telephone Number
22. Reply Email*
24. Presentation Topic and Nature of Request*
26. Do you have a PowerPoint presentation?

    1. Yes

    1. No
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28. 1. Receive an email copy of this form.
29. Email address

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30. Submit Submit and Print

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