Form Center

2. Under Florida Law, email addresses are public records. If you do not want your email address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone at 561-793-2418 or in writing.
6. Who would you like to contact?*
   -- Select One --James Titcomb, Town ManagerLakisha Burch, Town ClerkBeverly Kuipers, Office CoordinatorJennifer Lopez, Planning Technician and Assistance Town ClerkMonitor for Solid Waste ProblemsCheryl Miller, Public Works Administrative AssistantDesiree Rice, Accounting Technician
8. Questions, Comments, or Requests*
12. First Name*
13. Last Name*
15. Phone Number
16. Email Address*
18. Address*
20. City*
21. State*
22. Zip Code*
24. Organization
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

* indicates a required field