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Application for Town of Pinetop-Lakeside Boards, Committees, and Commissions

  1. Preferred salutation:

  2. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  3. I understand that my appointment to the Board/Committee/Commission will be based on the information submitted above.

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  5. This field is not part of the form submission.