VOTING REGISTRATION AND
EMERGENCY CONTACTS
Voting is your right. You are responsible to make timely updates
of changes to this registration information.
House (Beverly Oaks street number only - if none, use 0000)
Mailing Address
Only needed if you are not residing in Beverly Oaks
Name
e-mail
Re-enter e-mail
Cell Phone
Text Message #
Only used for emergency or last call voting notices
Phone (alternate)
Emergency Contact
Name of contact
Relationship
Text Message #
Only used for emergencies
Cell Phone
e-mail
Are there children, elderly, disabled or pets in the home?
This information is in case of fire and to help with returning lost pets. Please provide any information you think will help such as names, ages, sex, special needs (breed, color, age, veterinarian).
 


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