Dear Citizens of Lower Macungie Township,

You'll be pleased to know that your Township is in the process of developing a 'cutting edge' communication strategy that will significantly improve the flow of valuable township service information between us, save us money and make us even more efficient.  To accomplish this task, we are asking for your support in the gathering of information about yourself and your family's interests in various township services.

We would be very appreciative if you can fill out as much of the form below as possible: telephone number and e-mail address are VERY IMPORTANT!

1.	Salutation:	Select... Dr. Mr. Mrs. Ms. Prof. Rabbi The Hon. The Rev.
2.	First Name:	*
3.	Last Name:	*
4.	Address:	*
5.	Suite/Apt/Etc.:
6.	City / State / Zip:	, AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY -*
7.	Development:	Don't live in a development Allen West Ancient Oaks East Ancient Oaks North Ancient Oaks South Ancient Oaks West Annandale Beaumont at Brookside Big O Brandywine Village Brookfield Brookhaven Brookside Farms Brookside Villa Buttonwood Heights Chestnut Valley Estates Clearview Manor Corrado Homes Country Downs Country Homes Acres Creamery Run Cross Timbers Danfield Run Estates At Millrace, The Executive Estates Fairways at Brookside Farmington Hills Farmington Hills III Florence Hess Subdivision Four Seasons Farmington Graymoor Development Hamilton Fields Harris York Harvest Fields Heritage Heights Hidden Valley Hidden Valley Farms High Point Hillview Farms Hopewell Woods Indian Creek Village Lamplighter Village Landings Legacy Oaks Lehigh Crossing Lehigh Manor Nursing Maple Hills Martin Farms Meadowyck Millbrook Chase Millbrook Farms Nursery Woods Olympic Ridge Park Side Crossings Penn's Meadow Penn's West Pheasant Hills Pine Grove Red Maple Acres Ridgemont Estates Ridgeview Rolling Meadow Estates Salem Ridge Schaefer Run Commons Schaefer Run West Shepherd Hills Sophmar Estates South Ridge Estates Spring Creek Estates Spring Creek Village Spring Ridge Crossing Sun Valley The Hills at Lock Ridge Three C's Traditions At Wild Cherry Knoll Trexler Mews Valley View Waterfall Crossing Watermill West Woods Wildflower (Windsor Woods) Willow Estates Winding Brook Manor
8.	Home Phone:	*
9.	Cell Phone:
10.	Email address (Home):	*
11.	Username:	*
12.	Password:	*
	Confirm Password:	*
	(Password must be 6-15 characters and include at least one letter and one number)

13.	Program Area Interests: please check all that apply for you and your family
	Adult Dance,   Baking Classes,   Kids Art,   Kids Dance,   Kids Drama Class,   Kids Painting,   Kids Sewing,   Baseball,   Basketball,   Boating,   Cheerleading,   Field Hockey,   Lacrosse,   Movie Night,   Pilates,   Pool Pass Users,   Soccer,   Softball,   Swimming Lessons,   Tennis,   Volleyball,   Football,   Yoga,   Walkercise

14.	Blood Drive Donor
15.	Dance Night: Father/Daughter
16.	Lower Macungie Library Patron
17.	Newsletter - agree to receive 'electronic version' in lieu of printed version (cost savings)
18.	Member of Committee, Commission or Board