We really appreciate your participation in our survey today!

As a thank you, we would like to enter you into a draw for 1 of 3 prizes of $50 UpTown Dollars (which can be used at any UpTown Waterloo business or service, excluding the LCBO).

Please enter your name, phone # and email address below so we can contact you if you win.

Please note, your contact information will not be stored with your survey answers. Your survey responses will remain strictly confidential. The Waterloo Public Library will not contact you for any reason other than to notify you if you win one of our 3 prizes. All contact information will be deleted once prize winners have been notified and have accepted their prizes.

Thank you for your feedback!



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* 1. Please enter your name:

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* 2. Please enter your phone #:

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* 3. Please enter your email address:

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