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Horsham District Council
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ONLINE SUGGESTION FORM
Name:
Email:
Address:
Postcode:
Daytime Phone No.:
Evening Phone No.:
What suggestions do you have
on the Council's services ?
How can the Council's services
be improved ?
Have you already raised this
issue with the council ?
Yes
No
If so:
Name and job title of officer
or name of councillor
Date of contact
Have you received a reply?
Yes
No
If there is anything which makes it difficult for you to use our service, for example, if English is not your first language or you have a disability, please use the box below to tell us how we might help you.
If you would like any further information on the Council's services, please use the box below.
If you have an electronic document to support your comments or suggestions, for example, a letter from the Council, please send these with this form. Please tick the box if you would like them returned to you.
Please note that for the purposes of the Data Protection Act 1998 the information which you give may be used for any of the Council's statutory purposes particularly for the improvement of its services to the public. You may apply for a a copy of the information held about you by writing to the Council's Data Protection Officer.
27 July 2008
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