Participate in the event survey for a chance to win a $500 Coquitlam Centre gift card. The survey will be open until 11:59 p.m. on Friday, July 15.
Click here to view contest rules.
I understand by submitting this form I am consenting to the collection, storage, use and disclosure of my personal information for the purposes of the Canada Day Survey in accordance with the Freedom of Information and Protection of Privacy Act. I understand that my personal information will be disclosed to a third-party service provider (i.e. website host Civic Plus) located in Canada for the purpose of processing my survey. If you have questions or concerns about the collection of your personal information please contact Karen Basi, Cultural Services Manager, at kbasi@coquitlam.ca, 604-927- 927-6962.