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<br />DUPLICATE <br />ORIGINAL <br /> <br />ICLEI <br />L Local <br />Governments <br />fOT Sustainability <br /> <br />Application for Membership <br /> <br /> Jurisdiction Name City of Redwood City County, San Mateo, CA <br /> State <br /> Website www.redwoodcity.org Population 76,000 <br />1. Name of Highest Ranked Roseanne Foust Title Mayor <br /> Elected Official <br /> E-mail rfoust@redwoodcity.org Telephone (650) 780-7220 <br />2. Name of Elected Official Liaison SAB Title <br /> to ICLEI <br /> Address 1017 Middlefield Road <br /> City Redwood City State, ZIP CA, 94063 <br /> E-mail rfoust@redwoodcity.org Telephone (650) 780-7220 <br />Date last elected / Last day of term 11107-11111 <br />3. Name of Staff Liaison to ICLEI Magda Gonzalez Title <br /> Deputy City Manager <br /> Address 1017 Middlefield Rd. <br /> City Redwood City State, ZIP 94063 <br /> E-mail mgonzalez@redwoodcity.org Telephone (650) 780-7302 <br />..~ey;i;>i,i '" ItLEI ll",++;':;..;i~~~<..';.:.t":- N":~:..cS":I;,...":J ;.i .;, i./, ..... c:..... .""i """"'f;,".;.;!:""""'" ...... .... <br /> \7...~~'1 .' 1.",,~c:n";II'. ';i"'~.~~'<;;' <br /> Voting X D <br /> Regular contact X D <br />4. Name of Internal Press & Media Malcolm Smith Title Public <br /> Liaison to ICLEI Communications <br /> Address 1017 Middlefield Road Officer <br /> City Redwood City State, ZIP CA, 94063 <br /> E-mail Malcolm.smith@redwoodcity.org Telephone (650) 780-7305 <br />5. Name of Person to Receive Invoice Deanna La Croix Title Executive Assistant to <br />the City Manager <br /> E-mail dlacroix@redwoodcity.org Telephone (650) 780-7308 <br />6. Name of Person Completing Form Title Climate Protection <br />Beth Ross Specialist <br /> E-mail bross@redwoodcity.org Telephone (650) 780-5917 <br />7. Date of CCP Program Resolution * Please include supporting <br /> Adoption or Proclamation* documentation, if already adopted. <br /> <br />Upon receipt of membership fees and an adopted program resolution, your jurisdiction will be <br />considered a full ICLE! Member. All ICLEI Council Members are governed by the ICLEI <br />Charter. A copy of the Charter will be sent to the primary contact indicated above. <br /> <br />~ <br /> <br /> <br />Please take a moment to complete the questions on the reverse side. <br />Please send completed form to: Telephone: (510) 844-0699 <br />ICLEI - Local Governments for Sustainability U.S.A. Fax: (510) 844-0698 <br />436 14th Street, Suite 1520 E-mail: iclei-usa@icleLorg <br />Oakland, CA 94612 Website: www.iclei.org/usa <br /> <br />Signature: <br /> <br />Date: 7/6 to /ZC;Db <br />I / <br />