City of Evansville / Vanderburgh County : Form/Survey

Survey/Form Review

Contact the Mayor

1. What Type of Comment Would You Like To Send?

Citizen Concern

Comment

Suggestion

Other

2. What Do You Wish To Comment On?

3. Please Enter Your Comments*

4. First Name

5. Last Name

6. Address

7. Apt./Suite

8. City

9. State

10. Zip

11. E-mail*

12. Home Phone

13. Cell Phone

14. Work Phone

15. Please Contact Me Regarding This Matter

Yes

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