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City/Town Select... Fort Erie Grimsby Lincoln Niagara Falls Niagara-on-the-Lake Pelham Port Colborne St. Catharines Thorold Wainfleet Welland West Lincoln Outside Niagara Region (Specify below)

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Any personal information or personal health information submitted in writing will be collected, used and disclosed by members of Regional Council and Regional staff in accordance with the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act, where applicable.

Any information you share will be used only for the intended purpose for which it was provided. If you have any questions, email our Access and Privacy Office or call 905-980-6000 ext. 3779.