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* 1. Name of Council

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* 2. Name of delegate 1

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* 3. Contact email for delegate 1

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* 4. Position on Council of delegate 1

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* 5. Is delegate 1 a voting representative for the Council?

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* 6. Is delegate 1 an appointed proxy? (proxy form must be submitted by Friday 22nd Oct at 5pm)

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* 7. Name of delegate 2

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* 8. Contact email for delegate 2

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* 9. Position on Council of delegate 2

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* 10. Is delegate 2 a voting representative for the Council?

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* 11. Is delegate 2 an appointed proxy? (proxy form must be submitted by Friday 22nd Oct at 5pm)

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