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Website Feedback Form

2. The City of Anacortes wants your feedback on the new website! Use this form to request assistance, suggest changes or report broken links. Thank you!

6. Your Contact Information

7. Date
   Date

9. First Name*

10. Last Name*

12. Phone Number*

13. Email Address*

15. Street Address (optional):

17. Nature of Request*

    Please describe the page(s) of concern and the behavior you have encountered

19. Best way and time to contact you

23. Employee Assigned

24. Date Received
    Date Received

    Date Received

Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

* indicates a required field