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Wayne State Water Study
Citizen entry form for Wayne State water study
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* Indicates required question
Home Owner(s) First and Last Names
*
Your answer
Full Street Address
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
I understand and agree to the following
*
I will be attendance to the Wayne State University meeting held on 05/21/2019 @ 6pm
I must be available for all three dates Wayne State University chooses for sampling
That I am aware and agreeing all testing results and rights are Wayne State University's Property
Required
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