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Request for Council Candidate Application

2. If you wish to receive a digital copy of the Council Candidate Application, please complete and submit all requested information. This information is requested so you may be contacted with any information changes or updates.

   If you wish to receive a digital copy of the Council Candidate Application, please complete and submit all requested information. This information is requested so you may be contacted with any information changes or updates.

4. Last Name*

5. First Name*

7. Mailing Address*

9. City

10. State

11. Zip Code

13. Phone Number*

14. Alternate Number

16. Email Address*

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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit Submit and Print

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