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Feedback Form

2. Please provide your feedback on any issue related to the Village of Carpentersville. Please provide an email address or your phone number if you'd like to receive a response. Thank you for taking the time to contact us.

   Please provide your feedback on any issue related to the Village of Carpentersville. Please provide an email address or your phone number if you'd like to receive a response. Thank you for taking the time to contact us.

4. Name*

5. Are You a Village Resident?

   1. Yes

   1. No

7. If you'd like your feedback directed to a particular individual, please provide their name or position:

9. Would you like to be contacted?*

   1. Yes

   1. No

10. If yes, please provide email or phone number:

12. Comments*

Leave This Blank:


14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

* indicates a required field