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Neighborhood Email List Form
This is to have neighbors join our email list and have insight into their engagement in neighborhood.
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* Indicates required question
Email
*
Your email
Neighborhood
Your answer
Name (First & last)
Your answer
Email
Your answer
Address
Your answer
Phone Number
Your answer
How long have you lived in the neighborhood
Your answer
Renter or Owner ?
Renter
Owner
Clear selection
Why this neighborhood?
Your answer
Do you know your neighbors?
Yes
No
Clear selection
What's best about your neighborhood?
Your answer
If you could wave a magic wand and make one thing better in the neighborhood, what one change would you like to see?
Your answer
If others care about this too, would you be willing to join them in making this change come true?
Your answer
Do you have special skills, hobbies or Professional training?
Your answer
What institutions, groups, local organizations or associations do you belong to?
Your answer
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