Town of Millbury, MA - Citizen Comment Form

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Citizen Comment Form

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Use the following form to send comments to the Town of Millbury, Massachusetts. Make sure you choose an item from the selection list so that your comment will be forwarded to the proper office. Please fill out all required fields or we will be unable to process your request.

What is your comment about?

Field Description	Field Data	Required Field
Choose One:		required

What are your comments?

Field Data

Please provide the following information:

Field Description	Field Data	Required Field
Name:		required
Email Address:		required
Address:
City:
State:
Zip:
Phone:
Organization:

Thank you for your participation.


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