D4 CONTACT MASTER FORM

Thank you for providing us with your contact information. We will add you to our mailing list and notify you of meetings, events, and issues that are important to people in District 4.

CONTACT INFORMATION:

Please provide an email address and/or a cell phone number so that we can add you to our mailing list.

Phone
Phone
Detroit
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MI
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Zip Code
D4 Resident?*
Neighborhood

Please select the community where you reside or do business.

D4 Organization/Business?*

ORGANIZATION/BUSINESS INFORMATION:

Please enter your title or role in the organization or business.

Select
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Organization/ Business Type
Phone
Meeting Time
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