PLEASE NOTE: The information provided below and/or attached is for distribution at an open session of City Council and as such, becomes public information. Office of the City Clerk 410 - 9th Street Brandon, Manitoba R7A 6A2 Fax (204) 729-0975 SUBJECT: I/We [Name of presenter(s)] wish to appear as a delegation at the regular meeting of Brandon City Council. The purpose of addressing City Council is: I hereby acknowledge that I have read the Procedural Requirements for Delegations and agree to abide by such regulations. Contact Information: *First Name: *Last Name: *E-Mail: *Phone: *Address: *Postal Code: Attachment: Receipt will be confirmed by E-mail.

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