Please use this form to update your organization’s contact information. This information will also be sent to the City of Wichita in order to keep their records up to date as well.

Neighborhood Association/HOA Name:

Primary Point-of-Contact Name:

Mailing Address:

Primary Contact Phone

E-mail:

Secondary Point-of-Contact Name:

Phone:

E-mail:

Election Month:JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Meeting Time and Place:

WIN (Wichita Independent Neighborhoods) Member:

• Yes
• No

Boundaries:

(Please submit a map of your neighborhood association/HOA boundaries, if possible, & describe the boundaries above.)

web/social media

If you are on the web, please provide your URLs.

Submit