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Ō
tara-Papatoetoe Eco-Neighbourhoods Registration Form
Hey,
Please complete this form to register an interest in joining or creating an
Ōtara-Papatoetoe Eco-neighbourhood group.
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* Indicates required question
Email
*
Your email
Group Name (if any)
If you are registering as an individual who is not part of a group, do not enter a group name please.
Your answer
Are you the group contact person?
Only answer yes if you have entered a group name and you are the contact person for the group?
Yes
No
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First Name
Your answer
Last Name
Your answer
Preferred phone number
Your answer
What is the best time to contact you?
What day, time?
Your answer
What is your email address?
Your answer
What is your house number?
Your answer
Street?
What road do you live on?
Your answer
Which of you contact details do you give permission to be shared with other interested people who live close to you?
Select one or more options
Name
Phone number
Email
Address
None
A copy of your responses will be emailed to the address you provided.
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