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A, <br />LEAGUE OF <br />CALIFORNIA <br />CITI ES <br />CITY: <br />2023 ANNUAL CONFERENCE <br />VOTING DELEGATE/ALTERNATE FORM <br />Please complete this form and return it to Cal Cities office by Monday, August 28, 2023. <br />Forms not sent by this deadline may be submitted to the Voting Delegate Desk located <br />in the Annual Conference Registration Area. Your city council may designate one <br />voting delegate and up to two alternates. <br />To vote at the General Assembly, voting delegates and alternates must be designated by your <br />city council. Please attach the council resolution as proof of designation. As an alternative, <br />the Mayor or City Clerk may sign this form, affirming that the designation reflects the action <br />taken by the council. <br />Please note: Voting delegates and alternates will be seated in a separate area at the General <br />Assembly. Admission to this designated area will be limited to individuals (voting delegates <br />and alternates) who are identified with a special sticker on their conference badge. This <br />sticker can be obtained only at the voting delegate desk. <br />1. VOTING DELEGATE <br />Name: <br />Title: <br />2. VOTING DELEGATE - ALTERNATE <br />Name: <br />Title: — <br />Email: <br />Email: <br />3. VOTING DELEGATE - ALTERNATE <br />Name: <br />Title: <br />Email: <br />ATTACH COUNCIL RESOLUTION DESIGNATING VOTING DELEGATE AND ALTERNATES OR <br />ATTEST: I affirm that the information provided reflects action by the city council to <br />designate the voting delegate and alternate(s). <br />Name: <br />Mayor or City Clerk: <br />(circle one) <br />(signature) <br />Email: <br />Date: Phone: <br />Please complete and email this form to votingdelegates@calcities.org by Monday, <br />August 28, 2023. <br />