2. First Name*
3. Last Name*
5. Phone Number*
6. Email
8. Group or Organization*
   Please list the name of the group or organization wishing to be involved in storm drainage inlet marking.
10. Follow Up
    Kyle Kurth from the City of Pierre Engineering Office will contact you regarding details of the inlet marking program. Questions and concerns regarding this program should be directed to Kyle Kurth at 605-773-3066.
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12. 1. Receive an email copy of this form.
13. Email address

    This field is not part of the form submission.

14. Submit

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