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2. City of Coppell NotifyCoppell Unsubscribe Form

   If you would like to unsubscribe from NotifyCoppell messages but are unable to access your account, please list your contact information in the fields below. Please be sure to include all phone numbers and email addresses that are associated with your NotifyCoppell account to ensure that all of your information is removed. Once the completed form is received, your information will be removed within 10 business days. 

4. Name on Account

   In the fields below, please list the primary name on the account, as well as any other names that might be associated with the account. For example, if you are married, please list your spouse's name. 

6. First Name
7. Last Name
9. Other names associated with account
11. Phone Numbers for Voice Messages

    In the fields below, please list any phone numbers associated with the account that receive voice messages/phone calls. 

13. Primary Phone Number
14. Home Phone Number
15. Work Phone Number
17. Personal Mobile Phone Number
18. Work Mobile Phone Number
20. Other phone numbers that receive voice messages
22. Phone Numbers for Text Messages

    In the fields below, please list any phone numbers associated with the account that receive text messages. 

24. Personal Text Number
25. Work Text Number
27. Other phone numbers that receive text messages
29. Email Addresses

    In the fields below, please list any email addresses associated with the account. 

31. Personal Email Address
33. Work Email Address
35. Other email addresses associated with account
37. Physical Address

    In the fields below, please list the addresses associated with the account. 

39. Home Address
40. Home Address City
42. Home Address State
43. Home Address Zip Code
45. Work Address
46. Work Address City
48. Work Address State
49. Work Address Zip Code
51. Other physical addresses associated with account
Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit

* indicates a required field