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2. Contact Information
4. First Name*
5. Last Name*
7. Street*
9. (Apt., Bldg., etc.)
11. City*
12. State*
13. Zip*
15. Phone*
16. Email*
18. Data Privacy
    Your local provider has requested the information you provide on this page be released to their authority. Accordingly, this information may be subject to local public information rules and requests.
20. Terms and Conditions*

    By adding your phone number you agree to receive telephone calls that deliver messages from your local municipality that are pre-recorded and sent by the Town of Mount Pleasant.

    1. I have read, understand and agree to the terms and conditions.
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22. 1. Receive an email copy of this form.
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