Current Page 1 Preview Personal information on this form is collected under section 31(c) of the Freedom of Information and Protection of Privacy Act and used to respond to your request for a portrait of His Royal Majesty. If you have questions about the collection of personal information, contact the Protocol Office at 902 368-6889 or djatkinson@gov.pe.ca. Identification The photo will be delivered to the address entered below. Business/Organization Name Contact First Name Contact Last Name Address 1 Address 2 City, Town, or Community Province Postal Code For example C1B 0X1 or 12345 Country Telephone 1 For example 902-555-5555 Telephone 2 For example 902-555-5555 Fax Number For example 902-555-5555 Email Address Facility/Building Name For example: Town hall Is the portrait displayed at an address different from above? - Select -YesNo Address City, Town, or Community Postal Code For example: C1B 0X1 or 12345 Acceptance I acknowledge that Royal portrait is an official government document to be displayed appropriately and protected from neglect, defacement, and misuse. I have reviewed and will abide by the rules governing the use of Royal images provided by Canadian Heritage. CAPTCHA