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Authorized Signature Date Please mail fax or email this form along with your Booking Request Form to Mail 903 153 Avenue NE Edmonton AB T5Y 6C8 Fax 780-473-4853 E-mail bookings2 ourladyqueenofpeaceranch. The answers given have no effect on whether your Agency will be approved. Our Lady Queen of Peace Ranch Southern/Northern Alberta Ltd. NAME TITLE PHONE/E-MAIL AGENCY STRUCTURE Agency Mission Feel Free to provide additional pamphlets and information How are you funded Is your Agency a...
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