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Upper East Association Member Information and Survey
This form will allow us to update our records with your current household information. At the end is a three question survey that will help UEA better serve its members and our neighborhood. If you are now a member, just fill in information that has changed, but please complete the survey at the end.
Name (household member 1)
Name (household member 2)
Please indicate whether you are a new member or a current member
Current member updating our information
Address (in UEA neighborhood)
Zip (in UEA neighborhood)
Mailing address (if different from above)
City, State (if different from above)
Zip (if different from above)
Email address (household member 1)
Email address (household member 2)
Telephone number (household member 1)
Telephone number (household member 2)
Survey question 1: Please suggest any important actions/activities you would like to see the Upper East Association involved in.
Survey question 2: May we contact you to assist our efforts to prepare for an emergency affecting our neighborhood?
Already involved through UEA's Map Your Neighborhood
Survey question 3. Other comments, questions, or suggestions?
Send me a copy of my responses.
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