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2. Application to serve on the Downtown Task Force
4. Commitment
   The Downtown Task Force is expected to meet regularly from March 2015 to September 2015. By applying for this Task Force you are confirming you are generally available during that time frame.
6. First Name
7. Last Name
9. Residential address
11. City
12. State
13. Zip
15. Mailing address if different than above
17. Home or Business Phone
18. Cell Phone
20. Email
22. Preferred method of contact
24. Please identify your relationship to Downtown Northampton

    Select all that apply

    1. Downtown property owner
    2. Retail or restaurant owner
    3. Business owner representing professional services, social services or other similar business
    4. Downtown resident
    5. Community leader

    1. Arts community
    2. Smith College
    3. Property or business owner located outside of downtown
    4. Other...
26. Other please explain
28. Please identify the name of the business or group you would be representing, if applicable.
30. Please describe your interest in this Task Force and how you would contribute to it's success.
32. Comments...
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field