MoRA Neighborhoods Survey
MoRA wishes to identify neighborhood leaders for outreach and inclusion in group activities.
Neighborhood Name *
Your answer
Contact Name *
Your answer
Role/ Title with Neighborhood
Your answer
Contact Email *
Your answer
Contact Phone number
Your answer
Website
Your answer
Group Social Media (check all that apply) *
Required
Comments (please include social media handles)
Your answer
Would you like to receive the MoRA Newsletter via email? *
Click this link to sign up: http://eepurl.com/bHi5nD
Required
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)
Your answer
Alternate Email (optional)
Your answer
Alternate Phone Number (optional)
Your answer
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