Declaration Of Support For Eastmoreland Historic District

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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 *

By entering my name and identifying information below, I hereby declare my support for the Eastmoreland Historic District.

Required

My full legal name is: *

(Last Name, First Name)

I am an Eastmoreland resident and/or property owner. *

I am a resident of Eastmoreland and I own property in Eastmoreland

I am a resident of Eastmoreland; I do not own property in Eastmoreland

I own property in Eastmoreland; I am not a resident of Eastmoreland

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. *

I am at least 18 years of age.

Required

I can be contacted at this email address.

I can be contacted at this phone number.

enter area code and phone number

Home

Work

Mobile

Clear selection

Interested in taking action to support the creation of an Historic District? *

I'm interested

I'm not interested

How would you like to help? (check all that apply)

Serve as a block leader

Get a yard sign

Host a house party

Write materials for HEART website and/or Facebook page

Offer professional or specialized skills

Donate money to support our neighbor-funded efforts

Other:

I make this declaration of support on (date). *

date

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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