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V. EFFECTIVENESS OF IREGISTRATION FORM <br /> <br />The information, certifications, and authorizations set forth on this Registration Form shall remain in full force and <br />effect until the fund receives wrirten notification o£a change. <br /> <br />VI. AUTHORIZED sIGNATURES <br /> <br />This Registration Form mtlst be signed by the Council President (Chair) and the Clerk/Treasurer of the <br />municipality in order for die municipality to become a Participant of the Fund. <br /> <br />Typed Name of'Council President (or Chair) James Oitbertson, ~ayor <br /> <br />Signature <br /> <br />Date <br /> <br />Typed Name of Clerk/TreaSurer FUz~_,, Seh--o=dov: 0,4 t.v, fidm4n4 .st~to~/Gq.. . ~=-,'v.., .. <br /> <br />Signature Date <br /> <br />Mail this form to: Cadre Coflsulting Services Inc., 905 Marconi Avenue, Ronkonkoma, New York 11779. <br /> <br />45 <br /> <br /> <br />