Are You a Canadian Citizen?

YesNo

Are You a Resident?

YesNo

Have you owned your property or resided in the City of Steinbach since April 26, 2022?

YesNo

Will you be 18 years of age on or before October 26, 2022?

YesNo

First Name

Last Name

Civic Address

Owner or Tenant?

OwnerTenant

Mailing Address

Postal Code

Phone Number

Email Address

Submit