HomeMy WebLinkAbout2017-10-14 Mary Ciesinski - ECOSLOr
OCT 0 4 2017
MUNICIPAL ADVOCATE
REGISTRATION FORM -
Any person engaged in Municipal Advocacy as defined by SLO Municipal Code Section 2.64.020 is
required to register with the City Clerk. This form shall remain in full force and effect until such time as
the Municipal Advocate notifies the City Clerk of termination of such status.
�/� DATE:
NAME: / " I R'e5 h S
CITY OF RESIDENCE: sem'-�'� l S C� �l s� n
OCCUPATION:
PRINCIPAL PLACE OF BUSINESS: Le) 5
NATURE & PURPO E OF BUSINESSR ORGANIZATION:
ADDRESS: y ���'' -5� PHONE: ' S 5I'CLf
CLIENT:
CLIENT'S ADDRESS:
PHONE:
LEGISLATIVE ACTION YOUR CLIENT HAS AN INTEREST IN INFLUENCING:
DATE NO LONGER ACTIVE FOR CLIENT ON THIS ISSUE:
I swear, under pen ty of perj , that the information provided herein is correct.
GIMunicipal Advocate/Form