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We would like to have your input!

Place Maillardville is interested in building new opportunities for participation with the community. We invite the residents to get involved with shaping the future of the Centre. Please take a few minutes to complete this questionnaire. Contact information is optional and confidential. Please fill out the survey without disclosing your identity... we DO want and need your input and feedback!
What programs and services would you like to see offered at Place Maillardville?

Type of programs (please give examples of activities):

Age Group:


What is the best way to update you on our new programs?

Please share any other comments with us.

We invite the community to be involved as much as possible with the planning and development of opportunities at Place Maillardville. Please leave your name and best way to contact you if you are interested in being involved.

THE FOLLOWING ARE OPTIONAL AND CONFIDENTIAL:

Do you live in the community?

Name:

Address:

Telephone Number:

Email Address:

 

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1200 Cartier Ave. Coquitlam, BC. V3K 2C3
(Tel)604-933-6166
(fax)604-933-6168
info@placemaillardville.ca
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