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Chimney Swift Tower Registration

Location of the Chimney Swift Tower

1.What is the street address of the Chimney Swift tower you are registering? If you prefer to enter latitude and longitude, skip ahead to question 5.
2.In what city is the Chimney Swift tower you are registering?
3.In what state is the Chimney Swift tower you are registering?
4.In what zip code is the Chimney Swift tower you are registering?
5.You may also enter geographic coordinates. What is the latitude in decimal degrees N?
6.What is the longitude in decimal degrees W?
7.How would you describe the location of the tower?
8.If applicable, what is the name of the park, school, or other location where the tower is situated?
9.Approximately how tall is the tower in feet? Please enter only numbers.
10.How did you first hear about towers for Chimney Swifts?
11.What is your first name?(Required.)
12.What is your last name?(Required.)
13.What is your email address? We need to know so we can follow up with you if we have any questions about the data you've entered. Thank you!(Required.)
14.What is your street address?
15.In what city do you live?
16.What state do you reside in?
17.In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)
18.In what year was the tower built? If you aren't certain, please enter your best estimate.(Required.)