Community Flag Pole Request
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Note: Fields marked with
★
are mandatory.
Contact Information
Contact Name
Primary Phone Number
Primary Email
Organization Details
Name of Organization
Organization Type
Select an item
Registered Charity
Not-for-Profit
Charitable or Not-for-Profit Registration Number
Jurisdiction of Organization
Select an item
International
National
Provincial
Local
Request Details
Description of Associated Event (please include social media handles)
Date(s) of Event
Start Date for Flag to be Raised
End Date for Flag to be Removed
Flag Details (please attach a photo/diagram of the flag)
The personal information on this form is collected under the authority of the Municipal Act. It will be used to process your application. Questions about this collection may be directed to the City Clerk’s Office, City of London, 300 Dufferin Ave, London, ON, N6A 4L9.
Note: If the form does not appear to submit, please open each section and confirm that there are no issues or missing required fields.
