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2. 
3. City of Jenks
   PO Box 2007, 211 N Elm St Jenks OK, 74037
   918-299-5883
5. First Name*
6. Last Name*
8. Street Number*
9. Direction*
   -- Select One --N/ANSEW
10. Street Name*

    Including Directions

11. Unit Number
13. City*
    -- Select One --JenksBixby
14. Subdivision*

    Type N/A if none

16. It may be necessary to verify your submission. Please include contact information, where you can be reached during business hours.
18. Phone Number*
19. Email Address
21. By submitting this form, you are indication you whish to have your address addded to the Jenks No Knock List of addresses that door-to-door solicitors may not visit. It may take up to five business days to be added to the No Knock list.
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field