Resident Interaction Notes This is a private page. Please leave unless you have been asked to use the page. Interaction Notes For tracking information on interacting with residents. This field is hidden when viewing the formProperty Address IDThis field is hidden when viewing the formResident IDUnique IDThis field is hidden when viewing the formIP AddressEntered ByChoose Your NameMark TeitelbaumSteve KermanKeith HonigDavid TanenbaumRon PivoFritz StoverCraig BeattyNeil TicktinMonica BorochoffSherri KermanAnup BhowminkPaul AndrewsIan and Susannah SmithJames SilversteinOtherPlease type the name of the person who Entered this form…Resident Name First Last Street NameChoose Street NameAspenview CtBarrett DrBigstone PlBowman Knoll DrCarrie PlCountry LnDenver Springs DrFallview RdFastwater CtGrandoaks DrJean LnKirsten Lee DrMemory LnMontview CtPacifica CtPeachwood PlPinebluff PlRanchgrove DrSandpiper CtSandycreek DrShellcreek PlSnowpeak DrSouthshore PlThree Springs DrTimberridge CtTorchwood PlWellbrook DrWhiteriver PlWinterriver PlWoodburn AvYellowwood DrStreet Address NumberPlease enter a number from 1700 to 33000.EmailPlease make every effort to get an up to date email address. About Lawn Signs.Check all that apply Wants a Neighborly lawn sign. Supports Neighborly 3 - Explicitly said no to sign. Has Pam Sign Has Grossman Sign Has Whiteman Sign Lawn Sign Placement NotesPam & Co Sign Status Asked for permission, and said yes Asked for permission, and said no Never Asked for Permission, but supports Pam & Co Never Asked for Permission, but fears retribution if removed Never Asked for Permission, resident remove it Other Pam & Co Sign NotesConversation with resident.Check all that apply. Add to email list. Wants to help the Neighborly candidates Visited house, spoke to resident Visited house, did NOT speak to anyone Visited house, Resident is not the owner. Conversation NotesVoting Status Resident has already voted Has not yet voted. Didn't talk to Voting InformationIntends to Vote or Already Voted ForEither choose a radio button, or put specific values for each candidate in the next question. ONE vote for each of Neighborly 3 ALL FIVE votes, spread across Neighborly 3 Voted ONE vote for EACH of incumbents (3 + Pam + Grossman) ALL FIVE votes, spread across Pam/Grossman/Whiteman Split votes for Grossman/Neighborly 3 Vote all FIVE votes for Mark T Vote all FIVE votes for Keith Vote all FIVE votes for Steve Voted all FIVE votes for Pam Voted all FIVE votes for Grossman Voted all five votes for Whiteman Other Votes for KeithPlease enter a number from 0 to 5.Votes for MarkPlease enter a number from 0 to 5.Votes for StevePlease enter a number from 0 to 5.Votes for PamPlease enter a number from 0 to 5.Votes for GrossmanPlease enter a number from 0 to 5.Votes for WhitemanPlease enter a number from 0 to 5.Total VotesThis field is hidden when viewing the formDifferential TotalNote: Too many votes total. Only 5 votes per household. Do you have new resident info (additional email, phone, or comments)? Yes, more info No Additional Resident InfoAdditional EmailUse the email field above for the primary email, and this field for an additional email address the resident requested. Home PhoneCell PhoneAdditional Notes or Comments {{#message}}{{{message}}}{{/message}}{{^message}}Your submission failed. The server responded with {{status_text}} (code {{status_code}}). Please contact the developer of this form processor to improve this message. Learn More{{/message}}{{#message}}{{{message}}}{{/message}}{{^message}}It appears your submission was successful. Even though the server responded OK, it is possible the submission was not processed. Please contact the developer of this form processor to improve this message. Learn More{{/message}}Submitting…