Contact Information
Note: Red text indicates required fields.
First Name:
Last Name:
Address 1:
Address 2:
Country:
Prov/State:
City:
Postal/Zip Code:
Phone 1:
Phone 2:
Email:
Alternate Email:
Client #:
Account Information
Username:
* We suggest your email address (Min Characters: 5)
Password:
Re-Type Password:
Password Strength
Note: For the best Password Strength rating include:
Uppercase and lowercase characters
Numbers
Symbols
Eight or more characters
Extra Information
I understand that this collection of personal information is authorized under the Local Government Act, Community Charter and Section 26(c) of the Freedom and Information and Protection of Privacy Act. The information will be used for processing this application. Questions can be directed to the District’s FOI Head at municipal.hall@csaanich.ca, phone 250-652-4444.:
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