HomeMy WebLinkAbout2019-02-01 Climate Reality Project
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: _________________________________________________________________
CITY OF RESIDENCE: _____________________________________________________
OCCUPATION: ___________________________________________________________
PRINCIPAL PLACE OF BUSINESS: _________________________________________
NATURE & PURPOSE OF BUSINESS OR ORGANIZATION: _______________________
______________________________________________________________________________
ADDRESS: ___________________________ PHONE: _______________________
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DATE NO LONGER ACTIVE FOR CLIENT ON THIS ISSUE: _______________________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 penalty of perjury, that the information provided herein is correct.
________________________________________________________
Signature of Municipal Advocate
MUNICIPAL ADVOCATE
REGISTRATION FORM
1/31/2019
The Alliance for Climate Protection d/b/a The Climate Reality Project
Our mission is to catalyze a global solution to the climate crisis by making urgent action a necessity
across every level of society.
Washington, DC
555 11th St. NW, Ste. 601, 20004 202-567-6800
Community driven climate change initiatives.
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DocuSign Envelope ID: C26E6AF0-2252-496B-8984-D969EF322464