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Stakeholder Registration - Step 1

If you would like to register as a Stakeholder in our Neighborhood Council, please fill out the following registration application. In addition you can sign up for the main Mail List and also individual Committee email lists here or at the end of the registration process.

First Name  
Last Name
Address 1
Address 2
City   
State
ZIP
Email
Phone  
FAX
Other
Stakeholder Type
Select all that apply. Use Ctrl Key + Click for PC and Command (Apple) Key + Click for Mac.
If you are a non-resident stakeholder please provide the following:
Business Name
Address 1
Address 2
City   
State
ZIP
Business Email
Phone  
FAX
Please enter the following account information:
User Name
Password (6 characters minimum)
Password (again)
 
 


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