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The personal information contained on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) & the Personal Health Information Protection Act. The information is collected to confirm Customer details as stated on this sheet and is pursuant to Section 27 of the Municipal Freedom of Information and Protection of Privacy Act & Section 10 of the Personal Health Information Protection Act.
Questions about this collection can be directed to the Clerk’s Department, Town Hall, 37 Main Street East, Huntsville, ON, P1H 1A1, 705-789-1751 ext. 2255, firstname.lastname@example.org.
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