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Request a Meeting with the Mayor

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Please note that a meeting with the Mayor is dependent on availability, meeting objective & time sensitivity, although the Mayor’s staff will ensure your request is taken into consideration & responded to in a prompt manner. (* indicates a mandatory field)

Please correct the field(s) marked in red below:

Contact Information

1
Name
 *
2
Organization
3
Phone number
 *
4
E-mail
 *
5
Address
 *
6
City
 *
7
Province
 *
8
Postal code
 *

Meeting Agenda Information

9
Topic of discussion
 *
10
Attendees (please put both first and last names)
 *
11
Additional comments
 *

Booking Information

12
Time sensitive?
 *
Time sensitive?
13
If yes, date required

Please print this for your records. 

All of the personal information collected will be used for this request only and will not be shared with third parties.

Questions regarding the collection, use, and disclosure of this personal information may be directed to mayor@medicinehat.ca.

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