Region of Waterloo Form

Required fields are marked with asterisks (*)

WET Program Contact for More Information Application 

Please complete this form if you are seeking for any additional information regarding the Region's WET programs.

Which municipality do you live in?
Are you the property owner?
 
Please provide your preferred contact method
 
Which program(s) are you interested in learning more information about?
How did you hear about the program?
Are you interested in joining our contact list? We send occasional emails with information about the Region's Water and Wastewater Services programs to save water and money in your home and/or business?
 

Notice of Collection of Personal Information

To the extent that the foregoing information constitutes personal information as defined in the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, chapter M.56 as amended, the information is subject to provisions of that Act and will be used to collect information for the purpose answering questions regarding the Region of Waterloo's Water and Wastewater Services. Any questions regarding the collection of this personal information should be directed to Dan Meagher, Supervisor of Communications & Source Water Protection Program, at dmeagher@regionofwaterloo.ca or 519-575-4400 ext. 4423. 

I have read and understood the above notice of collection of my personal information.
 
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