Required fields are marked with asterisks (*)

Community Partnerships Reconciliation

If you require assistance completing this form please contact your Community Partnership Liaison at 905-318-5932 or email partnerships@haldimandcounty.on.ca.

Organizational Information

Organization

Organization name

Address

Town/City

Postal code

Project Contact

First name

Last name

Role in organization

Phone

This website uses cookies to enhance usability and provide you with a more personal experience. By using this website, you agree to our use of cookies as explained in our Privacy Policy.