Submit Via Email

MATANUSKA-SUSITNA BOROUGH PUBLIC OPINION MESSAGE

A COPY OF THIS PUBLIC OPINION MESSAGE WILL BE PROVIDED TO THE MAYOR AND BOROUGH ASSEMBLY Public opinion messaging allows you to send a message to the Mayor and all members of the Borough Assembly. If you have any questions, please call (907) 861-8683. * The email button above only works if you are using Adobe Reader or Acrobat. There are several other ways to submit after you fill out this form and save it. • Email: Attach it in an email to [email protected] • Fax: Print and Fax to (907) 861-7845. • Hand Deliver or Mail: The form may be printed and delivered to the Borough Clerk's Office, 350 E. Dahlia Avenue, Palmer, Alaska 99645. Title (Mr. Mrs. Ms.):

First Name:

Initial:

Last Name:

Suffix (Jr. Sr. II.):

Mailing Address (Address, City, State, and Zip):

Phone:

SUBJECT:

Group or Affiliation, if any:

Ordinance No.: __________

I support the legislation: OTHER SUBJECT:

MESSAGE:

Revised: 02/15

Resolution No.: __________ I oppose the legislation :

Date:

Action Memorandum (AM) No.: __________ I recommend amendment: