Request Form


Are you a community agency who requires our assistance? Complete and submit the form below, contact us in person at 12 Armstrong Avenue, Georgetown, ON L7G 4R9 or call us during regular store hours at (905) 873-8122.

Request Form


Contact Information Name
Address
Phone Number
Email
What do you need our assistance with?
What do you need in order to accomplish that task?
How long will the task take? When do we need to start?