City Of Loretto Public Notification Sign-Up Form printable pdf download

City Of Loretto Public Notification Sign-Up Form

PUBLIC NOTIFICATION SIGN-UP FORM

City of Loretto

279 N. Medina Street, Suite 260

PO Box 207, Loretto, MN 55357

mschneider@ci.loretto.mn.us

Phone: 763-479-4305 fax: 763-479-2685

The City of Loretto has a system in place so that residents and businesses can be notified of public

safety information or local emergencies. You have the option of signing up for a voice message, email

and/or text message. You may choose any or all of the options. We are able to add and update

resident and business contact information at any time. This is a private listing, your information will

not be shared with any other entities.

Our goal is to have 100% participation of Loretto residents - please spread the word!

Name: _________________________ Street Address_____________________________

Voice Mail Message

(leave blank if you don’t want to choose this option)

Please list up to four phone numbers for the voice mail option (include area code.)

1._______________________________

3.______________________________

2._______________________________

4.______________________________

Text Message

(leave blank if you don’t want to choose this option)

Cell phone number: __________________________

Name: ______________________

Carrier Name (AT&T, VERIZON, T-MOBILE, etc.):________________________________

Cell phone number: __________________________

Name: ______________________

Carrier Name (AT&T, VERIZON, T-MOBILE, etc.):_______________________________

Email Message

(leave blank if you don’t want to choose this option)

Email address: ____________________________________________________________

Please mail the completed form to: City of Loretto

P.O. Box 207

Loretto, MN 55357

Or drop the form off at City Hall or email to cscheibe@ci.loretto.mn.us.

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C:\Users\Staff\Documents\Permits.Forms\Public Notification System Sign-up Form.docx

City Of Loretto Public Notification Sign-Up Form