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2. Type of Comment

   1. Complaint
   2. Praise
   3. Problem
   4. Question
   5. Suggestion
3. Subject of Comment

   1. Employees
   2. Organization
   3. Service
   4. Website
   5. Other
5. Other (Please Specify)
7. Please enter your comments
9. Name
11. Address
12. City
13. State
14. Zip Code
16. Voting District

    1. Don't Know/Decline to State
    2. Salem
    3. Livingston
    4. Lee Hill
    5. Courtland
    6. Chancellor
    7. Berkeley
    8. Battlefield
    9. Non-Spotsylvania Resident
17. Phone Number
18. Email Address
19. Fax Number
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21. 1. Receive an email copy of this form.
22. Email address

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