Lobbyist Registry Submission

First Name

Last Name

Name of organization on behalf of whom you are contacting the Town of Collingwood

Address

Suite

City/Town

Province

Postal Code

Phone Number

Your Email

What kind of Lobbyist are you?

Consultant Lobbyist

In-house Lobbyist

Voluntary Unpaid Lobbyist

Person(s) Lobbied (Name / Position Title)

Subject Matter

Choose from the provided list

Date Range (MM/DD/YYYY - MM/DD/YYYY)

Please provide a brief description of your communication:

Have you held a position with the Town of Collingwood within the last 12 months?

Yes

I have read and I agree to the Terms of Use, the Lobbyist Registry By-law, and the Lobbyist Code of Conduct.