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MoRA Neighborhoods Survey
MoRA wishes to identify neighborhood leaders for outreach and inclusion in group activities.
Neighborhood Name
Contact Name
Role/ Title with Neighborhood
Contact Email
Contact Phone number
Website
Group Social Media (check all that apply)
Required
Comments (please include social media handles)
Would you like to receive the MoRA Newsletter via email?
Click this link to sign up: http://eepurl.com/bHi5nD
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Would you be interested in learning more about MoRA and possibly becoming a contributor?
If yes, please include your contact information below if it differs from what's above.
Required
Alternate Name (optional)
Alternate Email (optional)
Alternate Phone Number (optional)
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