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Committee Interest Form



Home Phone:

Cell Phone:


I’m interested in the following: (Check all that apply)
Board of Public Works Committee
Parks, Recreation and Leisure Committee
Board of Zoning Appeals
Planning Commission
Cemetery Commission– Floral Hill
Police and Fire Commission
Economic Development Committee
Revolving Loan Fund
Housing Authority
Tourism Committee
Library and Museum Board
Utility Commission

List your work experience and/or your professional qualifications: