Public Comment Form
Public Comment Form for the selection of the Central West End's Euclid South CID Public Trash Receptacles. The first two questions are required while the rest of the form is optional. One person who completes the entire form will win a gift card from a business in the Central West End.
Select Your Option Below
*
Please Select
Trash Can A
Trash Can B
What do you like about your selection?
*
Do you live in the Central West End?
Yes
No
Do you work in the Central West End?
Yes
No
Did you know there is a free mobile shuttle to transport you through Central West End?
Yes
No
Are you familiar with the Euclid South Community Improvement District?
Yes
No
Would you like to be apart of providing input for future neighborhood improvements?
Yes
No
Additional Feedback
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Submit
Should be Empty: