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Application for the Appointment to a Board or Committee

Personal information collected on this form is collected under the authority of the Municipal Act, 2001, as amended, for the purposes of reviewing this application. Questions regarding the collection of personal information should be directed to the Municipality of West Perth, 160 Wellngton Street, PO Box 609, Mitchell, ON N0K 1N0, telephone 519-348-8429 Clerk's Department.

 

Applicant 

Which Municipality or Township do you reside in?
 
Which Municipality of Township do you own Property in?
 
Are you 18 years of age or older?
 
What time are you able to attend meetings?
 
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