Local Member Designate Change Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out the information below if you as the President of your local is designating another member (of your local) to vote electronically in the 2022 Burn Fund AGM.

A member from your local must be present via Zoom or in-person to vote.

Thank you,

Jeff Sauvé
Executive Director

Local Affiliate *

Designee's Full Name *

Designee's Email *

Designee's Title *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of BC Professional Fire Fighters Burn Fund. Report Abuse

Forms