City of Farmington Hills - Household Information

Login (up to 10 chars) *

Password (up to 10 chars) *

Re-Type to Confirm *

First Name *

Last Name *

Address Line 1 *

Category

P.O BOX

City *

State *

Zip Code *

Email #1 *

Country

Confirm Email *

Phone #1 *

Phone #1 Extension

Phone #1 Type

Gender

Birthday (Must be 18+) *

Phone #2

Phone #2 Extension

Phone #2 Type

Organization Name

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