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You are registering for
DRAFT Keeping Melrose Affordable To All
Registration Form created by
MAI Melrose
Thank you for Joining us in Keeping Melrose Affordable and Open to All Incomes!
First Name
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Last Name
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Email Address
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Phone number
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Phone type
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Please confirm you live in Melrose
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Street Address
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Street Address 2
Preferred contact method
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Voting Ward
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Registered Voter
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How often do you vote
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Age range
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18-34
35-44
45 -54
55-65
65 - Infinity
Home type
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Apartment
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House
Would you like to volunteer
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