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Welcome to the Moon Township, PA, Citizen Request System
Today is Thursday, November 14, 2024.
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Purpose. This form is used to communicate with city personnel to request services and request information. Improperly filled out forms will be dismissed.

* Information is required.

Contact Information

First Name:
Last Name:
Business Name:
Email:
Daytime Phone: (
Fax: (
Address:
City:
State:
ZIP:

Nature of the complaint/suggestion...
 
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Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

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