eNewsletter Registration

2. By filling out this form, you are opting in to receive the Byrnes Mill eNewsletter when it is sent out. Visit our website to register for informational email in regards to road repairs/closures and other important information.

   By filling out this form, you are opting in to receive the Byrnes Mill eNewsletter when it is sent out. Visit our website to register for informational email in regards to road repairs/closures and other important information.

4. First Name*

5. Last Name*

7. Address1*

9. Address2

10. Phone Number

12. City

13. State

14. Zip*

16. Email Address*

17. Secondary Email

19. I would no longer like to receive paper newsletters.

    1. No (opt out)

    Check this box if you would like us to remove you from our mailing list. You will no longer receive printed newsletters, however, you may still receive occasional mailers from the City.

20. I would like to receive both printed and eNewsletters.

    1. Yes

    Only check this box if you would like to receive both a printed copy mailed to your home as well as our eNewsletter.

Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit Submit and Print

* indicates a required field