2. Name
4. Email Address*
6. Secondary Email Address (optional)
8. Please send me an email reminder:*

   The City will contact you by email with more information when the Smart Controller online store becomes available.

   1. Yes, I wish to be contacted by email.
10. Government Data Practices Act - Tennessen Warning:*

    Click the box to acknowledge that the data you supply on this form will be used to process this application. You are not legally required to provide this data, but the City will be unable to proceed without it. The data will constitute a public record.

    1. I acknowledge the Government Data Practices Act - Tennessen Warning.
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