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2. 

4. The City of Manvel utilizes Blackboard Connect to send notifications to citizens in the event of an emergency. By providing your address, the city is able to send targeted messages to specific residents within a mapped area.

6. First Name
7. Last Name
9. Address1
11. Address2
13. City
14. State
15. Zip
17. Phone Number
18. Check for TTY phone
20. How would you like to be notified?

    1. Phone Call
    2. Text Message
    3. Email
    4. ALL OPTIONS
22. Email if email option is chosen
24. Please tell us about yourself

    1. I am a Resident
    2. I am a Business Owner
    3. Other (Please specify below)
26. Other description
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field