Required fields are marked with asterisks (*)

Pin Request Form

Please complete all fields of the form to ensure your pins are received on time.

Name

Organization Name

Reason for request (purpose for pins)

Address

Telephone number

Date of pickup (yyyy/mm/dd)

Freedom of Information:

Personal information on this form is collected under the authority of the Municipal Act and is maintained in accordance with the Municipal Freedom of Information and Protection and Privacy Act. Questions regarding the collection of this information may be directed to the Township Clerk's Department.

The Township of Warwick is committed to providing accessible formats and communication supports for people with disabilities. If another format is required, please contact the Township's Clerk at 226-848-3926.