City Leaders and Government Intake Form

1

Cities, Counties & Public Sector Leader Qualification* This field is required.

What are the most urgent housing or infrastructure needs in your district?

Are there local programs or funding initiatives that could align with sustainable or emergency housing?

Are you open to public-private partnership models?

Preferred method of contact

Would you be willing to schedule a call to explore a PECSB pilot in your area?

2

Full Name & Company/Organization* This field is required.

Full Name

Title /Role

City or Municipality

3

Mobile/Office Phone Number* This field is required.

Please enter a valid phone number.

4

Email* This field is required.

example@company.com

Email Verified

Confirm email

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

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