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2. First Name*
3. Last Name*
5. Address*
7. City*
8. State*
9. Zip Code*
11. Email Address*
12. Phone Number*
14. Preferred Communication Method*

    1. Mail
    2. Email
16. Tennessen Warning*

    The data on this form is necessary to determine your eligibility to rent a garden plot. Some requested data is private. Private data is available to you and City staff who need this information to perform their duties but is not available to the public. You may choose not to provide some or all private data, but it may limit your ability to take part in the program. Checking the “I Agree” box, you consent to City staff collecting and reviewing the information provided. 

    1. I agree
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit Submit and Print

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