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Your Name
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First Name
Last Name
Your Number
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Your E-mail
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Your Neighborhood
What Best Describes You? (check all that apply)
Neighborhood Leader
Interested Resident
Community Organizer
City Employee
Potential Partner
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How Can We Best Support You? (check all that apply)
Jump on a virtual call to discuss neighboring strategies
Attend an upcoming meeting to share benefits of this work
Share tools and resources to help me get started
Provide training and support for a block connector where I live
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Your Message
Preferred Follow Up Method
Phone Call
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Virtual Video Call
In-Person Meeting
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