Galway
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Errors and Omissions
Fields marked with a red asterisk (
*
) must be filled before submitting the form.
Nature of error / omission:
Omission
Error
Title of business / organization:
Type of business / organization:
Phone number:
Fax number:
Email address:
Web address:
Postal address:
Description:
Your
email address:
*
Your
name:
*
Are you a contact person for this business?
Yes
No