Z-Zone Urban Homes Tour Registration

Please provide the following:

Your name:

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E-mail:

Phone:

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Mailing address:

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City:

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State:

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Zip:

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Which session will you attend?

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Overview and Bus Tour (includes breakfast and sack lunch)
Overview only (includes breakfast only)
Bus Tour (includes sack lunch only; must sign up before 8/17 to guarantee lunch)

Do you reside within the boundaries of the Green Impact Zone?

Yes No

Do you reside in public housing?

Yes No

Are you a participant in the Family Self-Sufficiency Program?

Yes No

Do you receive a Section 8 voucher?

Yes No

How did you hear about the Green Impact Zone Urban Homes Tour?

Received a flier at my door
Mailing
Received a flier at a community location
Phone call/call blast message
From a contact at the Green Impact Zone
From a contact at the Housing Authority of Kansas City

Type this code:
(no spaces)

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