I consent to the City of Brantford Public Health, Safety, and Social Services (220 Colborne Street, Brantford, Ontario, N3T 5R7) sending me e-mails and other commercial electronic messages about programs, events, services, surveys, marketing material, and other project information that may be of interest to me, and I also consent to the use by this entity of the personal information I have provided for these purposes. I understand that at any time I may withdraw my consent to receiving e-mails and other commercial electronic messages.
* indicates required
