<p>BRENT MEADE DIRECTORY INFORMATION</p><p>ADDRESS: ______</p><p>HOME PHONE: ______</p><p>MOVED FROM: ______</p><p>DATE MOVED: ______</p><p>Resident #1 NAME (First and Last): ______</p><p>CELL: ______</p><p>EMAIL: ______</p><p>EMPLOYER: ______</p><p>Resident #2 NAME (First and Last): ______</p><p>CELL: ______</p><p>EMAIL: ______</p><p>EMPLOYER: ______</p><p>CHILDREN Name Yea Phone and/or Services Provided BY Child: r email (Y/N) Bor Baby Yard Pet/plant n Sitting work sitting, mail pick-up</p><p>If adult residents in the home have different last names OR are not a married husband/wife couple, please indicate your preferences for how you should be listed. If you do not respond to this question, the first option will be selected by default. </p><p>___ 1 entry sorted under resident #1's last name. Resident #2 identified by first and last name</p><p>___ 1 entry sorted under resident #1's last name. Resident #2 identified by first name only</p><p>__ 2 entries, each listing both residents. Resident #1 will be listed first in one entry, Resident #2 listed first in the other entry. Each entries sorted by the last name of the first listed resident. Both entries will contain ALL of the information provided on this form. </p><p>__ 2 entries, each listing both residents. Resident #1 will be listed first in one entry, Resident #2 listed first in the other entry. The entry for Resident #2 will contain no information other than names and the instruction to see the entry for Resident #1 for more information. </p><p>__2 entries, each listing only one resident. Child information (if any) included with both residents</p><p>__2 entries, each listing only one resident. Child information (if any) included with Resident #1 only</p><p>__2 entries, each listing only one resident. Child information (if any) included with Resident #2 only</p><p>Other ______</p><p>PLEASE EMAIL YOUR COMPLETED FORM TO [email protected] Don't forget to sign-up for a free account at brentmeade.nextdoor.com !</p>