Meeting Participation Request Form | Mountain Parks Electric, Inc

Mailing Address
PO Box 170
Granby, CO 80446-0170

Office Hours
Granby: 7:30 a.m. - 5:30 p.m. (Mon. - Thur.)
321 West Agate Ave.
Walden: 7:30 a.m. - 1 p.m. (Mon. - Thur.)
600 3rd Street

Name:

Account #:

Address

City/Town

State/Province

ZIP/Postal Code

Phone Number:

Cellphone Number:

(Note: If this request is also for and on behalf of other members of the Cooperative, state their full names, addresses, phone numbers and member account numbers on a separate sheet and attach it.)

The specific purpose for requesting such attendance is:

State names, addresses, and phone numbers of any person(s) you desire to attend the Board meeting with you and why, and describe their status (whether they are your Cooperative member, your attorney, or other).

Date this request form executed:

BELOW IS FOR COOPERATIVE USE ONLY-ACTION ON REQUEST

Date of Action:

Signed by:

Sign above

Title: