Declaration Of Support For Laurelhurst Historic District
All questions are required. * Each adult in a Laurelhurst household should submit his or her own Declaration. * For questions or information contact historiclaurelhurst@gmail.com or visit historiclaurelhurst.com.
I support Laurelhurst being listed as a Historic District in the National Register Of Historic Place (check box). *
Required
My full legal name is (enter LAST NAME, FIRST NAME). *
Your answer
I am a Laurelhurst resident and/or property owner. *
The address of the Laurelhurst property where I reside and/or that I own is (enter full street number/name, and unit number if any; if you own multiple properties in Laurelhurst, provide each property's address). *
Your answer
I am an adult. *
Required
I can be contacted at this email address.
Your answer
I can be contacted at this phone number (state if home, work, or mobile)
Your answer
Interest in donating time or money to support Laurelhurst Historic District? *
Interest in receiving more information about Laurelhurst Historic District? *
I make this declaration of support on (date). *
MM
/
DD
/
YYYY
Thank you for supporting Laurelhurst Historic District!
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms