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,. LEAGUE <br /> OF CALIFORNIA CITY: <br /> rit CITIES <br /> 2012 ANNUAL CONFERENCE <br /> VOTING DELEGATE/ALTERNATE FORM <br /> Please complete this form and return it to the League office by Wednesday, August 15, <br /> 2012. Forms not sent by this deadline may be submitted to the Voting Delegate Desk <br /> located in the Annual Conference Registration Area. Your city council may designate one <br /> voting delegate and up to two alternates. <br /> In order to vote at the Annual Business Meeting(General Assembly), voting delegates and alternates must <br /> be designated by your city council. Please attach the council resolution as proof of designation. As an <br /> alternative, the Mayor or City Clerk may sign this form, affirming that the designation reflects the action <br /> taken by the council. <br /> Please note: Voting delegates and alternates will be seated in a separate area at the Annual Business <br /> Meeting. Admission to this designated area will be limited to individuals(voting delegates and <br /> alternates) who are identified with a special sticker on their conference badge. This sticker can be <br /> obtained only at the Voting Delegate Desk. <br /> 1. VOTING DELEGATE <br /> Name: <br /> Title: <br /> 2. VOTING DELEGATE - ALTERNATE 3. VOTING DELEGATE - ALTERNATE <br /> Name: Name: <br /> Title: Title: <br /> PLEASE ATTACH COUNCIL RESOLUTION DESIGNATING VOTING DELEGATE <br /> AND ALTERNATES. <br /> OR <br /> ATTEST: I affirm that the information provided reflects action by the city council to <br /> designate the voting delegate and alternate(s). <br /> Name: E-mail <br /> Mayor or City Clerk Phone: <br /> (circle one) (signature) <br /> Date: <br /> Please complete and return by Wednesday, August 15m, to: <br /> League of California Cities FAX: (916) 658-8240 <br /> ATTN: Mary McCullough E-mail: mmccullough @cacities.org <br /> 1400 K Street (916) 658-8247 <br /> Sacramento, CA 95814 <br />