Declaration
Personal Information contained on this form is collected pursuant to Section (29) of the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990 and will be used for the purposes of determining the recipient(s) of the Accessibility Achievement Award.
Questions regarding this collection should be directed to the Town Clerk, Town of Tillsonburg, 200 Broadway, Tillsonburg, ON, N4G 5A7; Telephone 519-688-3009 Ext. 3224.