Town Council General Public Comment Form

2. First Name*

3. Last Name*

5. Address1*

7. Address2

8. City*

9. Zip

11. Phone Number*

12. Email

14. My comments are:

    1. UNRELATED to the agenda.

15. Comments:

    Maximum of 400 characters

17. My comments are:

    1. RELATED to the agenda.

18. Item(s) No.

19. I am/I have:

    1. In support
    2. In opposition
    3. A question/comment

21. My comment/question:

    Maximum of 400 characters

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25. 1. Receive an email copy of this form.
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