Committee Member Application Form

What Committee are you applying to become a member of?

Name of applicant

Applicant Contact Information (Phone or email)

Are you a resident or property owner within the Municipality of Northern Bruce Peninsula?

Agree

Disagree

Brief description of the why you would want to be a member of the Committee

Personal information on this form is collected under the authority of the Municipal Act, 2001, and will be used in the processing of your correspondence. Questions regarding the collection of this information should be directed to the Clerk at 1-833-793-3537 ext. 236.

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