§ 33.073  INTERESTED PARTIES REGISTRATION FORM.
VILLAGE OF SOUTH JACKSONVILLE
MORGAN COUNTY, ILLINOIS
 
INTERESTED PARTIES
REGISTRATION FORM
 
Pursuant to 65 Illinois Compiled Statutes 5/11-74.4-4.2 the undersigned individual or organization states that the following is the correct name of the individual and/or organization and contact person and phone number requested to be listed in the village’s interested parties registry:
 
INDIVIDUAL
               
Name
Address
 
_________________________
_________________________
_________________________
 
Zip: ____________
Phone:
(      )       -        
 
 
 
 
 
 
ORGANIZATION
 
 
 
 
_________________________
Organization
_________________________
_________________________
 
Zip: ____________
 
 
 
Contact Person:
_________________________
 
 
Phone:
(      )       -        
 
 
 
 
 
 
(Ord. 814, passed 5-5-2000)