Citizens for Better Government, Batavia, NY

 

 

 
 

Feedback Form

What are the two most important issues you feel that we face in the city?

Please take a few moments to fill out the form completely. Your information will not be reused or sold. Thank you for your interest.

It is vital to keep you informed of things being considered by City Council and the City Manager so you have this information way ahead of time to evaluate and speak in favor of it or against it. To enable us to do this economically, we need your donations and also to build an e-mail database so we can contact you and reduce printing and postage costs.

We would like your permission to add your e-mail address to our list. You may have it removed any time by contacting us.

* = Required items

Full Name: *

Address: *

City: *

State: *

Zip: *

Daytime Phone: *

E-mail: *

Comment 1 *

Comment 2

May we quote you?

Yes No

 

||
 
      © 2007 Citizens for Better Government, Batavia, NY
www.CBGBNY.org