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Your Assistance is needed!
East Pennsboro Township is currently updaing our Emergency Contact listing and we need your contact information.  The emergency response system will be programmed to contact your by numerous methods.  Example:  main phone number, cell phone and email.  The system also will be able to contact other members of your household. Please take a few minutes to complete the information and forward ti to admin@eastpennborot.net   This will be done automatically by submitting the form at the end of the process.  All information will be confidential and will be used only by East Pennsboro Township to notify you. 
If you have questions, please feel free to contact use at the Township offices  909-5616.

               

NAME:                      
                                                                            
PHYSICAL ADDRESS:
                                                                                  
CITY/STATE:             

ARE YOU THE OWNER:       
                                                                                                       
OR THE RENTER:               
____________________________________________________________________________________________________________

MAIN CONTACT TELEPHONE NUMBER:                                                                                        

CELLPHONE NUMBER:                       

EMAIL ADDRESS:                               


____________________________________________________________________________________________________________
EXTENDED CONTACT PHONE. CELL PHONE, EMAIL NUMBERS

1) NAME     RELATIONSHIP    PHONE       EMAIL

2) NAME     RELATIONSHIP     PHONE      EMAIL






 

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