Juniata Township BOT Communication Form
Please communicate your questions, comments, concerns, suggestions, and/or interest in being involved.

The Juniata Township Board of Trustees will respond as soon as possible. Thank You!
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Phone *
Email Address
Question/Comment/Concern/Suggestion
Date of Concern/Incident (if applicable)
MM
/
DD
/
YYYY
Time of Concern/Incident (if applicable)
Time
:
I am interested in being involved in the township...
Clear selection
Other...
Best Day/Time to Reach you? Do you prefer a phone call, text, or email response?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy