Language
English (US)
Spanish (Latin America)
Van Buren County Treasurer
Request for Presentation to the Van Buren County Land Bank Authority
Name of Organization
*
Authorized Representative
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Presentation Request
*
Please indicate if this is an introduction or proposal for consideration
Summary of Project/Proposal
*
Please give a brief description of the presentation you would like to make to the VBCLBA.
Submission
Would you to receive an email copy of this form?
Yes
No
Email
This field is not a part of the form Submission
Please verify that you are human
*
Signature
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