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Organization
*
Neighborhood Association, HOA, Business or Full name if an Individual membership
Organization Type
*
Neighborhood Association
HOA
Individual
Business
Membership Type
*
New
Renewal
Contact Role
*
Individual
Business Owner
President
Vice President
Secretary
Treasurer
Contact position on board or individual.
First Name
*
Last Name
*
Street Address
*
Contact persons street address
City
*
State
Zip Code
Zip code of Contact person
District
1
2
3
4
5
6
Not sure
Phone
Contact Phone
Email
*
Website / URL
Meeting Place
If a neighborhood association or HOA
Meeting Time
Meeting Start Time if neighborhood association or HOA
Neighborhood Boundaries
Needed for hoa or neighborhood association memberships.
Comment
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