Tucows Domains

Certificate of Consent by a Municipality to the Registration of a Municipal Name

Fax: 416.531.2516
Attention: OpenSRS CA Municipal Domain Team

Please make sure that all of the appropriate details are included
Official Name of Consenting Municipality:
Name of Municipal Representative*:
Title of Municipal Representative:
Telephone Number of Municipal Representative
(Mon.-Fri., 8-4pm):
Domain Name:
Official Name of Applicant Municipality:
I certify that:

  1. I am the authorized representative for the municipality identified above;
  2. I have knowledge of the facts set out in this certificate and;
  3. The consenting municipality has consented to the registration of the domain name by the applicant municipality.
Signature of Municipal Representative:
______________________________________________________
Date:
* must be the Mayor, a department head, Chief Operating Officer, Chief Administrative Officer or equivalent for the municipality.
Releases/2002/Q3/Certificate of Consent by a Municipality to the Registration of a Municipal Name
Please print this form and fax it to +1-416-531-2516, Attention: OpenSRS CA Municipal Domain Team