PLEASE TYPE YOUR INFORMATION IN EACH BLANK:
STREET NAME: MANITO CIR
HOUSE NUMBER: 2811
TELEPHONE NUMBER: 2815999880
(is this number available to the public THROUGH 411) Yes No
EMAIL ADDRESS #1: TODIPAWS@EARTHLINK.NET
EMAIL ADDRESS #2: (give only if you want e-mails sent to two different e-mails)
LAST NAME: SIMMONS
FIRST NAME: TIM
SPOUSE'S FIRST NAME SAM
SPOUSE'S LAST NAME (if different)
Please type first and last names and relationship of other members of your household.
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2.
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PETS: Our residents call or e-mail us with lost or found pets. With this information an easier, safer, and a quicker return of all pets will be accomplished. Please include color, breed, name, size, gender, and anything to help identify your pet.
If you have a Pet, please describe in box:
BEAUTIFUL TODI
Annually we publish and distribute a printed directory to the Kelliwood Terrace residents. We provide space for you and your spouses name, phone and children's names.
May we have your permission to include your name and your spouses name in our printed directory? Yes No
If Yes, may we include your telephone number? Yes No
If Yes, may we include your children's names? Yes No
Also, we maintain a Kelliwood Terrace Website (www.kelliwoodterrace.com) which contains a directory by name, by address and a click map carrying the resident information. We provide space for you and your spouses' name and one phone number. Children names are NEVER listed on the web.
May we have your permission to include your name and your spouses name in our website directory? Yes No
If Yes, may we include your telephone number? Yes No If you have any comments or suggestions, please place in section below.
Thank you very much for participating in the neighborhood activities,
Tim and Sam Simmons
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