<form-template> <fields> <field type="header" subtype="h1" label="TOWN OF WEMBLEY SPEED LIMIT REDUCTION BYLAW SURVEY" class="header"></field> <field type="select" required="true" label="ARE YOU IN FAVOUR OF LOWERING THE TOWN SPEED LIMIT TO 30 KM/HR?" placeholder="Please select an option" class="form-control select" name="select-1646072425887"> <option value="yes" selected="true">Yes</option> <option value="no">No</option> </field> <field type="select" required="true" label="DO YOU RESIDE IN THE TOWN OF WEMBLEY?" placeholder="Please select an option" class="form-control select" name="select-1646072480313"> <option value="yes" selected="true">Yes</option> <option value="no">No</option> </field> <field type="text" subtype="text" required="true" label="NAME:" class="form-control text-input" name="text-1645050280941"></field> <field type="text" subtype="text" required="true" label="ADDRESS: PHYSICAL ADDRESS NOT MAILING ADDRESS" class="form-control text-input" name="text-1645831290122"></field> <field type="textarea" required="true" label="EMAIL:" class="form-control text-area" name="textarea-1645831329053"></field> <field type="paragraph" subtype="p" label="PLEASE NOTE: The personal information on this form is being collected in accordance with Section 33(c) of the Freedom of Information and Protection of Privacy Act (FOIP Act) RSA 2000 CF-23. If you have any questions about the collection, use and protection of this information, please contact the Town of Wembley FOIP Coordinator at 780-766-2269 or admin@wembley.ca." class="paragraph"></field> </fields> </form-template> Submit Submitting...