CERTIFICATE OF DESIGNATION In order to establish eligibility and credentials to vote at the 2026 Business Session, this form must be filed with: AssociAtion of towns of the stAte of new York, 150 stAte street, suite 203, AlbAnY, nY 12207 by September 16, 2026 TO:
OFFICERS AND MEMBERS OF THE Association of Towns of the State of New York To Ensure Correct Spelling On Badges, Please Print Or Type
I, ________________________________, Town Clerk of the Town of ____________________, in the County of ___________________________ and State of New York DO HEREBY CERTIFY that the town board of the aforesaid town has duly designated the following named person to attend the Annual Legislative Priorities Session of the Association of Towns of the State of New York, to be held during September 23, 2026, and to cast the vote of the aforesaid town, pursuant to §6 of Article III of the Constitution and Bylaws of said Association: NAME OF VOTING DELEGATE______________________________________________________ TITLE_____________________________E-MAIL ADDRESS______________________________ ADDRESS_____________________________________________________________________ In the absence of the person so designated, the following named person has been designated to cast the vote of said town: NAME OF ALTERNATE____________________________________________________________ TITLE___________________________E-MAIL ADDRESS________________________________ ADDRESS _____________________________________________________________________ In WITNESS WHEREOF, I have hereunto set my hand and the seal of said town this _____ day of ______________, 20___. ________________________________ Town Clerk