Route 73 South Redevelopment Area Information Request Form

Company Name

Company Address

Company Phone Number

Company Website

Describe the Company's business type and interest in this project

Your Name and Title

Your Address

Your Phone Number

Your Email Address

Would you like to schedule a meeting with Borough officials to discuss this project?

Yes, as soon as possible.

Not at this time.

Do you agree to use the information in a way that promotes the best interests of the Borough and not to share the information with anyone other than your current or potential business partners and clients?

Yes

Comments

For questions or immediate assistance please contact:

John Gural, CPM
Borough Administrator
20 West Broad Street
Palmyra, NJ 08065

Office Phone: (856) 829-6100, extension 125
Fax: (856) 829-4096
Email: jgural@boroughofpalmyra.com

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Route 73 South Redevelopment Area Information Request Form