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2. Name
3. Email Address
5. Address
7. City
8. State
9. Zip Code
11. Day Phone
12. Evening Phone
14. Description of Issue:
16. Meeting Minutes (Applicable to Neighborhood Organization only)
    Advocacy Petitions submitted by a neighborhood organization must be accompanied by a copy of the Meeting Minutes taken at the neighborhood organization’s meeting where the issue was discussed and RNA advocacy sought.
17. Desired Outcome of Advocacy Petition Being Submitted:
19. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
21. Electronic Signature
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22. Calculate Totals Proceed to Checkout

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