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City Pin Application Form

Required fields are marked with asterisks (*)

Contact information

Contact Person:

Address:

Email:

Phone:

Website:

Event information

Application type:

Individual or Organization (maximum 50 free pins)

Local event (maximum 150 free pins)

Number of pins requested:

Name of event:

Date of the event:

Location of the event:

Event details:

Reason for request of more than 50 -150 pins (if applicable):

The City of Prince Albert is committed to protecting your privacy. Personal information collected on this form is in accordance with The Local Authority Freedom of Information and Protection of Privacy Act (LAFOIP) and will only be used for the purpose for which it was collected. Personal information will not be shared or used for any other purpose without your express consent pursuant to LAFOIP and the City of Prince Albert’s policies. Please contact The City Clerk’s office, 1084 Central Ave., Prince Albert, SK, via email cityclerk@citypa.com or call 306-953-4305 for questions about the access, use, and disclosure of your personal information.