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Please correct the fields below:

City Manager Comment Form

Please correct the field(s) marked in red below:

1

What kind of comment would you like to send us?

*

What kind of comment would you like to send us?

Compliment

Complaint

Other

Question

2

If other, please describe:

If other, please describe:

3

Enter your comments in the space provided:

Enter your comments in the space provided:

4

What is your name?

What is your name?

5

What is your email address?

What is your email address?

6

What is your phone number?

What is your phone number?ext.

7

Would you like us to contact you regarding this issue?

*

Would you like us to contact you regarding this issue?

Yes (If yes, please be sure to fill out your contact information above)

No

8

Preferred Contact Method

*

Preferred Contact Method

E-mail

Phone

To receive a copy of your submission, please fill out your email address below and submit.
Email Address

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