Night to Unite Registration Form

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Please correct the field(s) marked in red below:

Yes, my neighborhood is planning a Night to Unite event on Tuesday, August 2, 2016
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My Name:
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My Address:
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My Phone Number:
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My Email Address:
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Location of NTU Event:
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Time of NTU Event:
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Number of Households invited to event:
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Yes, I would like to block off my street for our Night to Unite event.
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-Location we would like to block off:
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If our request is approved, we agree to pick up the barricades from the Public Works Facility located at 700 15th Avenue North between 8:00 a.m. and 4:30 p.m. on Monday, August 1st or Tuesday, August 2nd.
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Number of Night to Unite get-togethers we have had:
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We have never had the following stop by:
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