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2. Introduction
   Before we launch the new Electronic Newsletter we need some quick information from residents and businesses.
4. Identify Yourself*

   1. Resident

   1. Business
6. Which Quadrant of Slave Lake are you in? *

   1. South East
   2. South West / Gloryland

   1. North East
   2. North West

   1. Outside of Slave Lake
8. Resident Name:
9. Email Address
11. or
13. Business Name:
14. Email Address:
Leave This Blank:


16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field