Name *

First Name

Last Name

Phone

(###)

###

####

What is your affiliation with PVNA?

I'm a PVNA resident; homeowner, renter, etc.

I'm a PVNA business-owner

Other

Please make a selection:

I agree to have my comment and first name shared at the next PVNA board meeting

I prefer to keep my comment anonymous from the general public. Please omit my name if discussed at board meeting.

I prefer to have my comment addressed privately. Please do not include