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* 1. Please share your feedback regarding the proposed water and sewer rates. Extensive information about the rate proposals at www.rawlinswy.gov/feestudy

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* 2. Where do you reside?

This form may be summited anonymously. However, if you choose to leave your name and contact information we may contact with you with follow-up questions. 

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* 3. What is your name?

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* 4. What is your phone number?

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* 5. What is your email address?

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