Protect Amanda Township Inc.                               Membership Application
The purposes of Protect Amanda Township Inc. (PAT Inc.) are to further the common good and general welfare of  the residents of Amanda Twp. by promoting the preservation and stewardship of farmland, cultural, natural and recreational resources in our rural community.  
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Email *
First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Telephone number 
123-456-7891 Format
*
What county do you reside in?
(If you lease, rent or own land in Amanda Township  please choose Fairfield County)
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