Nakoma Directory update - form
By submitting this form you are agreeing to have your information published in the Nakoma Directory
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Are you adding, deleting or modifying your directory information?
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DELETE
MODIFY
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Last Name
*
Your answer
First name(s)
Your answer
Second Last name (second household last name)
Your answer
Second First name (second household first name)
Your answer
Street number
Your answer
Street name
Your answer
Phone number (###-###-####)
Your answer
Other phone number (###-###-####)
Your answer
email address #1
Your answer
email address #2
Your answer
Are you interested in serving on the board
Yes
No
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Add children?
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No
Yes
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