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Personal Information Release Consent Form

Please contact the Clerk at 519-735-2184, ext. 116 if you have any questions.

 

This information may be released to the following: Town of Tecumseh for public distribution and promotion on its website, social media, and any other publication materials.

In accordance with the Municipal Freedom of Information and Protection of Privacy Act, as amended, I hereby consent to release the above personal information.

The personal information collected on this form is collected in accordance with the Municipal Freedom of Information and Protection of Privacy Act as amended and other legislation and will be used for the purpose of contact as stated above.