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2. First Name*
3. Last Name*

5. All information will remain confidential. No anonymous complaints will be accepted – you must identify yourself to ensure complaint can be validated. 

7. Phone Number*
8. Street Address*
10. Description of Complaint:
12. FOIP
    The personal information requested on this survey is being collected under the authority of Alberta’s Freedom of Information and Protection of Privacy (FOIPP) Act, Section 33 (c), for the purpose of INSERT REASON and is protected under the Act. Notwithstanding, comments or remarks offered in this survey may be made public, without disclosure of personal information. If you have any questions about the collection, use or disclosure of the personal information provided, please contact the FOIPP Co-ordinator at the Town of Nanton Administrative Office, 1907 – 21 Avenue, Box 609, Nanton, Alberta, T0L 1R0 (403) 646-2029.
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14. 1. Receive an email copy of this form.
15. Email address

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