Thank you for signing up to receive notifications from the Millville City Notification System. Please fill out this form as completely as possible.

Messages can be received as SMS messages to a mobile phone, voice messages to a
landline and/or email messages to an email address.

The information you provide will only exist inside the notification system and will not be used for any other purpose.

Please fill out a separate form for each person who would like to receive notifications.

Enter First Name *
Your answer
Enter Last Name *
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Enter Email
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Phone Number (including area code)
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Physical Home Address (No PO Boxes)
Your answer
Select the type of notifications you would like to receive (you may select more than one): *
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