Citizen Suggestion Form

2. Who would you like to contact?

3. Please select from the following options:

4. Please select from the following options:*

   1. Administrative Dept
   2. City Council
   3. City Manager
   4. Parks and Recreation Dept
   5. Property Tax Dept

   1. Rover Bus
   2. Fire Department
   3. Police Department
   4. Public Works
   5. Website Administrator

6. Your Contact Information

8. First Name*

9. Last Name*

11. Address*

13. City*

14. State*
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15. Email Address*

17. Phone Number*

18. What would you like to say?

19. (If you would like your comments directed to a specific individual, put the person's name in your message.)

    255 Characters Max Length

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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

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