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Animals > Animal Diseases > Avian Influenza  

Order form for Bird Health Basics materials

(Canadian Addresses Only)


* Mandatory

Name: *
Address:*
(Include rural route and/or farm location if applicable)
City:*
Province:*
Postal Code:*
Telephone:
E-mail:
Number of Birds:*
Type of Birds:*

 

I would like to receive a free disease prevention resource kit (if available)
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The information you provide on this document is collected by the Canadian Food Inspection Agency to be used under the authority of the Health of Animals Act for the purpose of supporting the prevention and/or control of livestock diseases in Canada.

Personal information will be protected under the provisions of the Privacy Act and will be stored in Personal Information Bank CFIA / PPU 025.

The information could be disclosed subject to the requirements of the Privacy Act or Access to Information Act.

 



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