TOWN OF BOXFORD
COMMUNICATIONS DEPARTMENT
285 IPSWICH ROAD
BOXFORD, MA,01921
978-887-8136
978-887-8138 (fax)
Warren Gould – Director of Communications
email: wgould@town.boxford.ma.us
TELEPHONE NOTIFICATION SYSTEM
RESIDENT CONTACT INFORMATION FORM
The Town of Boxford Telephone Notification System has been implemented to allow the Public Safety
agencies of the town the ability to reach every resident and business within the town in case of an emergency
or urgent situation. The system will only call published residential phone numbers. Please use this form to add
your non-published phone number to the system database. The information you provide is for the sole use of
the Town of Boxford Public Safety Agencies and will be kept strictly confidential.
For Street Address:________________________________________________________________
Resident Name: __________________________________________________________________
The Town of Boxford Telephone Notification System is capable of reaching multiple telephone numbers and email
addresses. The first listed # should be your primary residential phone number. Use additional forms to add as many cellular
or other home numbers and email addresses as needed.
Home/Primary Telephone #
___________________________
Is there a TTY device for the hearing impaired attached to your home telephone number? _______
If you would like to receive text message alerts on your cell phone please indicate which cell phone provider you use.
Cell Phone # 1
___________________________
Name: ____________________________________
Cell Phone provider/carrier
Cell Phone # 2
___________________________
Name: ____________________________________
Cell Phone provider/carrier
Email # 1
______________________________
Name: ____________________________________
Email # 2
______________________________
Name: ____________________________________
The phone # that you will receive notifications from is 866-419-5000
Upon completion please mail or drop off this form to:
Director of Communications
Town of Boxford Communications Department
285 Ipswich Rd.
Boxford, MA, 01921