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2. Description

   We would like to provide assistance in signing up for the Town's new Smart911 emergency alert system. Please provide your preferred contact information below that you would like to use to receive these important alerts. We will send you a confirmation email once your information has been uploaded. 

4. First Name
5. Last Name
7. Address
9. City
10. State
11. Zip Code
13. Landline Phone Number
14. Mobile Phone Number
16. Email Address
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

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