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2. FULL NAME
4. EMAIL ADDRESS
6. RELATIONSHIP TO THE TOWN OF SMYRNA*

   Please select option that best describes you:

   1. Smyrna Resident
   2. Smyrna Business Resident
   3. Both a Resident and Business Owner
   4. Other
8. TOPIC CATEGORY*

   Please select option that best describes your question

   1. Public Safety
   2. Public Works and Infrastructure
   3. Parks and Recreation
   4. Town Services (utilities, permits, billing, code enforcement,ect.)
   5. Growth and Development (planning, zoning, new projects)
   6. Community Events and Activities
   7. Other
10. QUESTION FOR THE MAYOR*

    300 character limit. Please keep your question focused on one topic.
     

12. ACKNOWLEDGMENT*

    1. I understand that questions may be grouped or summarized, and that not all questions may be addressed during the Town Hall.
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14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

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