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 Emergency Management  
CITY OF BLACKWELL, OKLAHOMA

STORM SHELTER REGISTRATION FORM

Name:

Address: 
Phone Number: Cell Number: 

Email: 

Shelter Type: 

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Shelter Location: 

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Comments:

Emergency Management Office
221 W. Blackwell
Blackwell, OK 74631

Jim Inmon, Emergency Management Director

Administration:  580 363-0300
Fax:  580 363-0324
   

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