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Name

Phone Number

Address

Preferred Date

Preferred Time

Do you require any accommodations to participate in this appointment?

Yes

Will you be filing all of the appropriate nomination papers as outlined?

Yes

Will your endorsement signatures be completed prior to the appointment?

Yes

Have you arranged the required nomination filing fee?

Yes

I understand that nomination papers must be complete and meet the requirements of the Municipal Elections Act, 1996 in order to file my nomination.

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