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Information Request Form

 

Prior to filling out this form, please ensure that your request relates to one of the subjects listed below. For the following topics, please refer to:

 
Starred fields are mandatory.
 
Purpose of the request*
 
Last name, first name*:
 
Email*:
 
Telephone number
 
Administrative region*:
 
Municipality*:
 
Other location details (intersection, street name, lot number, etc.):
 
Short description of the request (title):
 
Detailed message*  (maximum 1500 characters)