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Are you listed for emergency notification through the , a cooperative program offered to local residents by Las Virgenes Municipal Water District in cooperation with the Los Angeles County Sheriff's Department, L. A. County Fire Department, local cities, and Las Virgenes Unified School District?

C.A.N. form to print, fill out, and mail or fax
*First Name:                 *Last Name:
     
*Address:
*City:                           *Zip:
     
*Phone (include area code):
E-Mail Address: (optional; required to receive confirmation e-mail)
I do / I do not receive a water bill directly from Las Virgenes MWD.
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