By filling out this form you are agreeing to have your contact information used within a petition or similar document that will be submitted to the City of Calgary's City Council and/or the Government of Alberta.

First Name*

 
Last Name*

 
Address*

 
City*

 

Postal code

 
Email

 
Phone*

 
 

* required information

NOTE: Information provided to us will ONLY be used for the petition.
You will not be contacted by any sales person or annoying telemarketer based on filling out this form.