Form Center

2. Name:
4. Are you a resident of Napa?

   1. Yes
   2. No
6. Email Address:
8. 1) What is the nature of the common social or economic interest of your community? You can describe what the common interests of your community are and why or how they are important.
10. 2) Where is your community located? You can define it by neighborhood, streets, address, proximity to a key landmark (such as a school or community center), or other boundaries.
12. 3) What are the geographic definers/boundaries of your neighborhood? Examples of definers/boundaries could be highways, roads, rivers, hills, or parks.
14. 4) What is the rationale for your community of interest to be used in this districting? Please describe how the issues before the City Council have a unique impact on your group.
Leave This Blank:


16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field