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Melrose Affordable Iniatitive
Registration Form created by
MAI Melrose
Thank you for Joining Melrose Affordable Initiative!
First Name*
Last Name*
Email Address*
Phone number*
Phone type*
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Landline
Mobile
Preferred contact method*
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Call
Email
Text
I agree to receive emails and text from MAI*
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No
Please confirm you live in Melrose*
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No
Yes
Street Address*
Street Address 2
Voting Ward*
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1
2
3
4
5
6
7
Registered Voters
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Democrat
Independent
Libertarian
Republican
How often do you vote
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Always
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Never
Your first time
Age range
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18-34
35-44
45-54
55-64
65-Infinity
Home type
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Apartment
Condo
House
Would you be interested in volunteering with MAI?
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1. Helping at Swap event
2. Hosting box for Food Drive
3. Emailing others about events
4. Letter writing supporting event for paper
5. Other
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