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You are registering for
Lawn Sign Request
Registration Form created by
MAI Melrose
First name*
Last Name*
Number of Signs Requested*
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1
2
3
Email Address*
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Phone Number
Street Address*
Street Address 2
City*
Voting Ward*
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1
2
3
4
5
6
7
How often do you Vote
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Always
Sometimes
Never
This will be my first time voting!
Age range
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18 to 34
34 to 49
50 to 64
65 to Infinity
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