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2. 
4. Welcome to the Mayor's Birthday Club
   All information provided in this form is subject to Freedom of Information Act requests subject to State law.
6. First Name*
7. Middle Initial
8. Last Name*
10. Address*
12. Address Two
14. City*
15. State*
16. ZIP Code*
18. Birthday*
    Birthday
20. Email Address*
22. Thank you for joining the Mayor's Birthday Club.
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

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