MLT Residence Form
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First Name *
Last Name *
Email Address
Phone Number *
Street Address *
City *
State *
Zip code *
Are you a U.S. citizen? *
Do you own a home in Mountlake Terrace, or rent?
Will you be 18 years of age or older in 2016? *
Are you registered to vote?
How many people in your household are 18 years or older and eligible to vote?
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