Required fields are marked with asterisks (*)

Order form

Request your free Report All Spills poster

Note: during the Canada Post strike you have the option of having the materials mailed or picking up at the Region of Waterloo, 150 Frederick Street, Kitchener during office hours. If pick-up is the preferred option, Region of Waterloo staff will contact you when the order is ready.

The Report All Spills poster is also available for download as a PDF to print.

Request your free Report All Spills poster as a reminder of who to call in case of a chemical spill. Your organization will not be charged for the materials or shipping costs via Canada Post. However, the Region of Waterloo has the right to limit quantities. Please allow two to three weeks for delivery by Canada Post.

Display in visible area near chemicals
11 x 17 inches

report all spills poster

Number of posters requested:

Option to receive posters

Mail to address on form

Pick up at Region of Waterloo, 150 Frederick St, Kitchener

Name

Email Address

Organization

Address Number

Address Street Name

Unit number

City/ Town

Postal Code

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 of distributing requested materials. Questions about the collection of personal information should be directed to Region of Waterloo Water and Wastewater Services, waterservices@regionofwaterloo.ca or 519-575-4400; Deaf and hard of hearing (TTY): 519575-4400.

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

Yes

City of Cambridge

City of Kitchener

City of Waterloo

Township of North Dumfries

Township of Wellesley

Township of Wilmot

Township of Woolwich