JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
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
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Phone
*
Your answer
Email Address
Your answer
Question/Comment/Concern/Suggestion
Your answer
Date of Concern/Incident (if applicable)
MM
/
DD
/
YYYY
Time of Concern/Incident (if applicable)
Time
:
AM
PM
I am interested in being involved in the township...
Planning Commission
Board of Review/Alternate
Zoning Board of Appeals/Alternate
Volunteer
Other:
Clear selection
Other...
Your answer
Best Day/Time to Reach you? Do you prefer a phone call, text, or email response?
Your answer
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
Forms