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2. Request to be contacted by Mayor Sullivan
4. First Name
5. Last Name
7. Address1
9. Address2
11. City
12. State
13. Zip
15. Email
    Please provide your email
17. Request information
    Please provide a brief narrative on why you wish to be contacted.
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19. 1. Receive an email copy of this form.
20. Email address

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21. Submit Submit and Print

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