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Application Form


* denotes a required field

*First Name:

*Last Name:


*Phone:

*Email:


Restaurant Name:
Not a required field, name can be amended throughout the process Not a required field, name can be amended throughout the process

*Restaurant Concept:
Your vision for the look and feel of the restaurant, who your customers will be and basic hours of operation Your vision for the look and feel of the restaurant, who your customers will be and basic hours of operation

*Why will your restaurant be successful?
Reasons your restaurant concept will be successful in Downtown Ripley Reasons your restaurant concept will be successful in Downtown Ripley

Video Link:
1-3 minute video, enter a link to Youtube or Dropbox 1-3 minute video, enter a link to Youtube or Dropbox

* I have the rules and regulations and the About Win this Space.


Privacy of Information

The information supplied is for use by the Township of Huron-Kinloss and will not be sold or distributed without consent. The personal information collected will be used by the Township of Huron-Kinloss only for the "Win This Space" contest. The collection and disclosure of the information is governed by Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), 1990. For more information or questions about the collection of information, contact 519-395-3735.

Contact Us

Phone: 519-395-3735
Fax: 519-395-4107
Address:
P.O. Box 130, Ripley ON N0G 2R0



All documents found on our website are also available in hard copy by contacting the Municipal Office.