Super Neighborhood Council Application Form

Please print and fill out this application.

To:	City of Houston Planning and Development Department
Attn:	Marlene L. Gafrick, Director P.O. Box 1562 Houston, Texas 77251
Dear Ms. Gafrick, I / we are interested in forming a super neighborhood council in my/our community. Please have someone from your staff contact me/us regarding this request. Thank you.
Applicant: Please enter the name of the individual or organization filling out this application)
Address:
Telephone Number:		Area Code __________ Telephone _________________________________
		If you are not the contact person, please give us that person’s name: What is the best contact time? ( day / eve)
My Neighborhood is:
Please mail this application to the address given above, or fax it to (713) 837-7923.