Participation Form, Independent Alliance Group

Would you like to participate in establishing an Independent Alliance Group?	Yes No
What are some of your ideas on how to make the Alliance responsive to your community?
Have you discussed the Alliance with any of your community members, civic association, or neighbors? *	Yes No
Please complete the contact information and submit the form.
Name: *
Address: *
Phone Number: *
E-Mail Address: *
Do you have any questions or concerns? *