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2. Last Name
3. First Name*
5. Email*
6. Phone Number
8. Freedom of Information and Protection of Privacy Act

   Section 33(c) of the FOIP Act authorizes the County of Wetaskiwin No. 10 to collect this personal information for the purpose of the "Preparing for Farm Retirement".  If you wish to inquire about the collection, use, and disclosure of personal information, or if you have questions about correcting your personal information, please contact the FOIP Coordinator: foip@county10.ca; phone 780-352-3321 (ext. 2270); or, toll free at 1-800-661-4125.

10. 
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12. 1. Receive an email copy of this form.
13. Email address

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14. Submit

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