Resident Interaction Notes This field is hidden when viewing the formProperty Address IDThis field is hidden when viewing the formResident IDUnique IDThis field is hidden when viewing the formIP AddressEntered ByChoose Your NameCraig BeattyFritz StoverKeith HonigMark TeitelbaumSteve KermanNeil TicktinOtherPlease type the name of the person who Entered this form…Resident Name First Last Street NameChoose Street NameAspenview CtBarrett DrBigstone PlBowman Knoll DrCarrie PlCountry LnDenver Springs DrFallview RdFastwater CtGrandoaks DrJean LnKirsten Lee DrMemory LnMontview CtPacifica CtPeachwood PlPinebluff PlRanchgrove DrSandpiper CtSandycreek DrShellcreek PlSnowpeak DrSouthshore PlThree Springs DrTimberridge CtTorchwood PlWellbrook DrWhiteriver PlWinterriver PlWoodburn AvYellowwood DrStreet Address NumberPlease enter a number from 1700 to 33000.Check all that apply. Add to email list. Wants a Neighborly Five lawn sign. Wants to help Neighborly Five Visited house, spoke to resident Visited house, did NOT speak to anyone Has Pam Sign Has Grossman Sign EmailPlease make every effort to get an up to date email address. Lawn Sign Placement NotesWants to Help NotesPam Sign Status Asked for permission, and said yes Asked for permission, and said no Never Asked for Permission, but l support them Never Asked for Permission, but l fear retribution if removed Never Asked for Permission, resident remove it Never Asked for Permission, please remove it for me Other Pam Sign NotesVoting Status Resident has already voted Has not yet voted. Didn't talk to Intends to Vote or Already Voted For Voted one vote for each of Neighborly Five Voted one vote for each of incumbents (4+Pam) Voted all five votes for Pam Voted all five votes for Grossman Voted all five votes for one of Neighborly Five Split votes for Grossman/Neighborly Five Split votes for Pam/Grossman Split between subset of only Neighborly Five None of the Above Votes for CraigPlease enter a number from 0 to 5.Votes for FritzPlease enter a number from 0 to 5.Votes for KeithPlease enter a number from 0 to 5.Votes for MarkPlease enter a number from 0 to 5.Votes for StevePlease enter a number from 0 to 5.Votes for PamPlease enter a number from 0 to 5.Votes for GrossmanPlease enter a number from 0 to 5.Total VotesThis field is hidden when viewing the formDifferential TotalNote: Too many votes total. Only 5 votes per household. Additional Resident InfoHome PhoneCell PhoneAdditional Notes or Comments
