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Modify your registration
City of Maillé
Registration form
To modify / delete your information in the future, fill in the following fields:
Email address
?
Password
?
Contact to register:
Title
---
Mrs
Mr
Last name
*
First name
*
Informations to send alerts depending on your location:
Zip code
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85420
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Other
*
*
City
*
Address
*
?
am_adr_sugest
?
Information to contact you during an alert:
You can register multiple phone or mobile numbers by clicking on the icons
To send you alerts by phone
*
?
The number
+33 251870578
will call you at the end of registration to validate your number
?
To send alerts via other means:
Alerts via SMS:
?
Alerts via email:
?
Duration of registration:
Register
Permanently
Temporarily
?
Start date
?
End date
?
Other Information:
Number of persons in the household ?
?
You are ?
Individual living in the municipality
Business resident in the municipality
Professional working in the municipality')
Type of residence ?
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Main
Secondary
Heat alert- vulnerable person ?
Person over the age of 70
Person over 60 who is unfit for work
Isolated person
Disabled person
Other
People with disabilities ?
Blind or partially sighted
Deaf or hard of hearing
With reduced mobility
Medicalized
Under electrical equipment
Your language ?
?
Other informartion ?
?
Fields with
*
are mandatory.
