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Please select the resources you would like to receive
(required)
Mask poster for general use
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Mask poster for exemptions
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Mask poster for common areas
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How do you want to receive resources?
Mail
Pick up at Halton Regional Centre
Contact Information
First Name
(required)
Last Name
(required)
Business Name
(required)
Unit Number
Street Number
Street Name
Please pick your street name, municipality from the list after typing 3 characters
Postal Code
Email (this address will receive a confirmation receipt for your request)
(required)
Phone Number
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Unit - Street
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