Declaration Of Support For Eastmoreland Historic District
All questions are required. * Each adult in an Eastmoreland household should submit his or her own Declaration. * For questions or information contact iHEARTeastmoreland@gmail.com or visit www.iHEARTeastmoreland.com.
I Support Eastmoreland being listed as a Historic District in the National Register of Historic Places *
Required
My full legal name is: *
(Last Name, First Name)
I am an Eastmoreland resident and/or property owner. *
Number of Years I've Lived in Eastmoreland *
The address of the Eastmoreland 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 Eastmoreland, provide each property's address). *
I am an adult. *
Required
I can be contacted at this email address.
I can be contacted at this phone number.
enter area code and phone number
Clear selection
Interested in taking action to support the creation of an Historic District? *
How would you like to help? (check all that apply)
I make this declaration of support on (date). *
date
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/
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YYYY
Thank you for supporting HEART and the Eastmoreland Historic District!
We may feature your name on the supporters page of iHEARTeastmoreland.org
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