E-MAIL RELEASE CONSENT
Any e-mail provided will be solely for the purpose of communicating with the City of El Paso electronically.
Personal e-mails are confidential under State Law unless an individual affirmatively gives consent in
writing for public release. The e-mail provided will be used until otherwise stated in an Annual
Neighborhood Report under the designated points-of-contact for a neighborhood/civic association.
PLEASE RETURN FORM TO:
NEIGHBORHOOD SERVICES DIVISION
Community + Human Development Department
City 3 – 801 Texas Ave. 3
rd
floor
El Paso, Texas 79901
Ph: 915-212-1681
Email: neighborhoodservices@cityofelpaso.gov
I, ____________________, (Printed Name of 1
st
Contact of Neighborhood/Civic Association) affirmatively
consent to the release of my email address, which is listed below, by the City of El Paso, Texas, until
such time as further written notice is provided to the Neighborhood Services Division.
_______________________________________________________________________________
Email Address
_________________________________________ __________________________
Signed Signature Date
Alternatively, by electronic consent:
By checking this box, I affirmatively consent to the release of my email address.
I, __________________, (Printed Name of 2
nd
Contact of Neighborhood/Civic Association) affirmatively
consent to the release of my email address, which is listed below, by the City of El Paso, Texas, until
such time as further written notice is provided to the Neighborhood Services Division.
_______________________________________________________________________________
Email Address
_________________________________________ __________________________
Signed Signature Date
Alternatively, by electronic consent:
By checking this box, I affirmatively consent to the release of my email address.
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