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2. Name of Group*
4. Contact Person*
6. Change in Name of Group
8. Change in Contact Person Name
10. Change in Home Phone Number
11. Change in Work Phone Number
12. Change in Cell Phone Number
14. Change in Email
15. Change in Website
17. Change in Mailing Address
18. Change in Street Address (if Different from Mailing Address)
22. The personal information that you provide to the City of Lacombe is collected under the authority of the Alberta Freedom of Information and Protection of Privacy (FOIP) Act - Section 33(c). The information will be used for the purpose of managing and publishing a contact list of community organizations.
24. Collected personal information is protected from unauthorized access, collection, use, and disclosure in accordance with the FOIP Act, and can be reviewed and corrected upon request.
26. Questions regarding the collection of personal information can be directed to the FOIP Coordinator.
    Contact the FOIP Coordinator
30. To receive a copy of your submission, please fill out your email address and submit.
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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

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