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2. Name *
4. Phone Number*
6. Email Address*
8. Business Name (if applicable)
10. Description of Product(s) Available*
12. Approximate Price Range Per Product*
14. Photo of Product(s) *
16. Protection of Privacy Act

    The personal information collected through this form is for the purpose of evaluating promotional item opportunities. This collection is authorized by Section 4(c) of the Protection of Privacy Act. For questions about the collection of personal information, please contact the County of Wetaskiwin Privacy Officer: email legislativeservices@county10.ca; telephone 780.352.3321; in person at 243019A Hwy 13, or send post mail to County of Wetaskiwin No., 10, Box 6960, Wetaskiwin AB, T9A 2G5.

    
    

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18. Email address

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