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Town of Norfolk Massachusetts
 
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Town Calendar

Blackboard Connect
Request for Warrant Discussion Account
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Please copy this template into your E-Mail client, fill it out there,
and then E-Mail it to "TMAccount@VirtualNorfolk.org". Please do not
delete any questions or text from this template. When you supply
information, replace the underscore characters with your answer. If
you are not supplying any information for an optional question, just
leave the question and the following underscore characters as they
are.

After your account has been created, we will send E-Mail to the
preferred E-Mail address you entered below, giving you your login name
and details for accessing the forum. Please save the password that you
enter below because we won't be mailing that back to you. The reason
that we allow you to supply alternative E-Mail addresses and phone
numbers is to allow us to contact you (perhaps in future years, for
future Town Meetings), if your preferred E-Mail address and/or phone
number are no longer valid.


The eight-character TMTC-ID Code that was assigned to you: ________
(Required)

Your Legal name as it appears in the voter registration database
(please use capital and lowercase letters as appropriate for the way
that you spell your name)

              First Name (Required): ________________________________

              Middle Initial(s) (Required, if you have one or more
              middle names or initials): _ _ _ _

              Last Name (Required): _________________________________

              Generational Suffix (i.e. Jr, Sr, II, III, IV, etc.)
              (Required, if you have a generational suffix): _____

Common name:   ____________________________________
(Optional)     IF you normally use AND PREFER an informal variant of
              your name (for example, "Skip" instead of Otto, "Billy"
              instead of William, "Peg" instead of Margaret, etc.)

Your choice for a password (Required): _______________________________
(Your password can be a minimum of 6 and a maximum of 30 characters
long. It may contain any ASCII printing characters other than a comma.
Letters are treated as case-sensitive. For example, "a" is not = "A".)

Re-enter your password (Required): _______________________________

Your preferred
E-Mail address: ______________________________________________________
(Required; This will not be visible to other users of the web site)

Your preferred phone number: _________________________________________
(Required; This will not be visible to other users of the web site)

First
alternative
E-Mail address: ______________________________________________________
(Optional; This will not be visible to other users of the web site)

Second
alternative
E-Mail address: ______________________________________________________
(Optional; This will not be visible to other users of the web site)

First alternative phone number: ______________________________________
(Optional; This will not be visible to other users of the web site)

Second alternative phone number: _____________________________________
(Optional; This will not be visible to other users of the web site)

Norfolk Town Hall, One Liberty Lane, Norfolk MA 02056  Phone: 508-528-1408
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