Citizens' Information Request Form

Osiyo-

Please note the following in reference to this form:

This form is for the use of Citizens of the Western Cherokee Nation exclusively. All others are requested to visit http://www.westerncherokeenation.org/ for contact information.
All items marked with an asterisk (_*) are required to be answered to properly handle your request.
Please utilize Information Tags ( ); mouse over to read instructions.
If after sending this form you do not receive an acknowledgment of receipt within 48 hours, please return to this form to use as a reference and complete a standard email answering all the questions listed on the form and mail to it@tribalgov.info. your request for information will then be forwarded to the Executive Office for proper routing. We apologize for any inconvienience.

Full Name * Please enter your full name as shown on your enrollment/citizenship card
Enrollment Number * Enter your enrollment number in this area - this is a required entry
Primary E-Mail Address * Please enter your primary email address here.
Alternate e-mail address If you have a secondary or alternate e-mail address, please enter it here.
Mailing Address-Line 1 * Please enter the first line of your mailing address here
Mailing Address-Line 2 Please enter the second line of your mailing address here
City * Please enter you mailing address city in this area.
State * Mailing Address State to be entered here please.
Country * Please select your mailing address country here.
Postal Code * Please enter Postal Code in this area
Daytime Telephone Please Enter Daytime Telephone number here. (Optional)
Night Telephone Please enter your night telephone number here (Optional)
Voter Registration Status * Please select the most appropriate option - this field is required.Currently RegisteredDo not wish to be registeredUnsure of Registration StatusWould Like to be registered to vote
I request information on * Please enter your question(s) and what information that you are seeking in this area.
Priority of Request * Please assign a priority to your question(s) here.
My request should be addressed to * Please Select the most appropriate entry below (Required)Elders BoardWCNFC&A Co-op Assoc.Restoration CommitteePow Wow CommitteeNon Profit Corporation MatterElection BoardFamily PreservationInformation Technologies DivisionEnrollment DepartmentTreasurer's OfficeTribal CouncilExecutive DepartmentNot SureOther, Not Listed
Do you wish to be personally contacted? *NoYes, by telephoneYes, by e-mailYes, by US MailI desire an appointment to discuss matter at Capitol Complex
Reply Requested From If there is a specific person that you wish to answer your question, please list that person here.
WCN Voice Subscription * Please indicate your preference for receiving or not receiving the WCN Voice e-mail list postings.Already SubscribedNoYes