Kelleys Island Alert Notification Opt-In Form
This form is being used to gather current email and cell phone information for a Kelleys Island Alert System for all Island residents. The information you provide will be used for this sole purpose and not re-distributed or used for any other purpose.
Your Name and Kelleys Island Address *
Your answer
Email Address
Your answer
Primary Phone Number *
Your answer
The above number is a: *
Secondary Phone Number
Your answer
The above number is a:
How would you prefer to receive an alert? Check all that apply. *
Required
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