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2. Neighborhood Association / HOA Name:*
4. Primary Point of Contact Name:*
6. Contact Mailing Address:*
8. Phone:*
10. Fax:
12. Email:*
14. Election Month:
16. Meeting Time and Place:*
18. Boundaries:*

    Please submit a map of your neighborhood association/HOA boundaries if possible, and describe the boundaries above. 

19. Boundaries Map
23. How will this information be used?

    The primary contact information for your neighborhood association/HOA will be included in a database that is used for distributing information that may affect your area. For example, if a planning project or new development is being considered in your neighborhood and notification is necessary, then your contact will be notified.

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25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field