City of West Hollywood Lobbyist Termination Form

Pursuant to West Hollywood Municipal Code Section 2.72.080, a Lobbyist shall file with the City Clerk a notice of termination after ceasing lobbyist activities.

I wish to terminate my Lobbyist Registration

Yes

Name

Firm Name

Address

City, State, Zip

Phone

I declare under penalty of perjury, under the laws of the State of California, that the statements herein are true and correct. I further declare that I have ceased all activities which required my Lobbyist Registration with the City of West Hollywood.

Executed On

Executed At (City)

There is no fee to terminate a Lobbyist Registration.

Document Signers

- Lobbyist
- City Clerk Review