Name, First and Last

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* 1. Name, First and Last

What is your street address?

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* 2. What is your street address?

What is your current email address?

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* 3. What is your current email address?

Mobile Phone Number

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* 4. Mobile Phone Number

Do you accept text message on this phone?

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* 5. Do you accept text message on this phone?

Home Phone or 2nd Mobile Number

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* 6. Home Phone or 2nd Mobile Number

Do you accept text message on this phone?

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* 7. Do you accept text message on this phone?

What is your preferred method of contact? (Mobile call, text, email, home phone, etc.)

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* 8. What is your preferred method of contact? (Mobile call, text, email, home phone, etc.)

If you have any questions regarding the Seminole Storm Warning system, or need to add additional information to your account, please comment in the box below, or send an email to Ernie Willis, Emergency Services Director, at Ewillisok@aol.com or call 405-382-3702.

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* 9. If you have any questions regarding the Seminole Storm Warning system, or need to add additional information to your account, please comment in the box below, or send an email to Ernie Willis, Emergency Services Director, at Ewillisok@aol.com or call 405-382-3702.

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