The information collected on this form is collected and being used for the purposes of the Core Area Action Plan’s Spotlight program, which may include sharing this information with the London Police Service. Questions about this collection should be addressed to spotlight@london.ca or 519-661-2489, extension 8445.

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* 1. What is the name of your business?

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* 2. What is your business address?

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* 3. Who is the primary contact for your business? Please provide their full name.

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* 4. What is your business phone number?

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* 5. What is the primary email you would like us to contact you at?

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