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<body background="../_themes/copy-of-blends/blegtext.gif" bgcolor="#CCCCCC" text="#000000" link="#0000FF" vlink="#CC3300" alink="#0000FF"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica"><!--mstheme--></font><table border="0" cellpadding="0" cellspacing="1" style="border-collapse: collapse" width="100%" id="AutoNumber1" height="247">
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<p style="margin-top: 1; margin-bottom: 1">
<img border="0" src="../images/townseal.gif" width="150" height="183"></p>
<p align="center" style="margin-top: 1; margin-bottom: 1"><font face="Trebuchet MS">
<a href="oldindex.htm">Needham Home Page</a></font><!--mstheme--></font></td>
<td width="100%" align="right" valign="top" height="183"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<img border="0" src="townofneedham.gif" align="right" width="607" height="87"><p style="margin-top: 1; margin-bottom: 1"> </p>
<p style="margin-top: 1; margin-bottom: 1"> </p>
<p style="margin-top: 1; margin-bottom: 1"> </p>
<p style="margin-top: 1; margin-bottom: 1"> </p>
<p style="margin-top: 1; margin-bottom: 1"><b>
<font face="Verdana" size="2">1471 Highland Avenue</font></b><p style="margin-top: 1; margin-bottom: 1"><b>
<font face="Verdana" size="2"> Needham, MA 02492<br>
Phone - 781-455-7500<br>
Fax - 781-449-4569</font></b><p style="margin-top: 1; margin-bottom: 1">
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<p align="center"><b><font face="Verdana" size="5" color="#0000FF">Contact
US</font></b></p>
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<p align="center"></p>
<p align="center"></p>
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<td width="102%" style="border-left-width: 1; border-right-width: 1; border-top-width: 1; border-bottom-style: solid; border-bottom-width: 1" bordercolor="#C0C0C0" height="21"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica"> <!--mstheme--></font></td>
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</p>
<p align="center" style="margin-top: 1; margin-bottom: 1"><font face="Verdana, arial, helvetica">Tell us what you think about our web site, our Town, or anything else
that comes to mind.</font></p>
<p align="center" style="margin-top: 1; margin-bottom: 1"><font face="Verdana, arial, helvetica">We welcome all of your comments and suggestions.</font></p>
<p align="center" style="margin-top: 1; margin-bottom: 1"> </p>
<form action="../_vti_bin/shtml.dll/xTownMisc/TownofNeedhamContactUs.htm" method="POST" onSubmit="" webbot-action="--WEBBOT-SELF--">
<!--webbot bot="SaveResults" s-label-fields="TRUE" b-reverse-chronology="FALSE" s-email-format="TEXT/PRE" b-email-label-fields="TRUE" b-email-subject-from-field="FALSE" s-email-subject="WebSite" s-builtin-fields="REMOTE_NAME REMOTE_USER HTTP_USER_AGENT" u-confirmation-url="../../Town of Needham MA/Thanks.htm" s-email-address="[email protected]" u-file="../_private/feedback.txt" s-format="TEXT/TSV" startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot bot="SaveResults" endspan i-checksum="43374" -->
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<form method="POST" action="../_vti_bin/shtml.dll/xTownMisc/TownofNeedhamContactUs.htm" onSubmit="" webbot-action="--WEBBOT-SELF--">
<!--webbot bot="SaveResults" u-file="../_private/contactus.txt" s-format="TEXT/CSV" s-label-fields="TRUE" b-reverse-chronology="FALSE" s-email-format="TEXT/PRE" s-email-address="[email protected]" b-email-label-fields="TRUE" s-builtin-fields startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="1"><!--webbot bot="SaveResults" endspan i-checksum="43406" --><p><strong><font face="Verdana, arial, helvetica">What kind of comment would you like to send?</font></strong></p>
<dl>
<dd><font face="Verdana, arial, helvetica"><input type="radio" name="MessageType" value="Complaint">Complaint
<input type="radio" name="MessageType" value="Problem">Problem <input type="radio" checked name="MessageType" value="Suggestion">Suggestion
<input type="radio" name="MessageType" value="Praise">Praise</font></dd>
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<p><strong><font face="Verdana, arial, helvetica">What about us do you want to comment on?</font></strong></p>
<dl>
<dd><font face="Verdana, arial, helvetica"><select name="Subject" size="1">
<option selected>Web Site</option>
<option>General Information</option>
<option>Questions about Municipal Services</option>
<option>(Other)</option>
</select> Other: <input type="text" size="26" maxlength="256" name="SubjectOther"></font></dd>
</dl>
<p><strong><font face="Verdana, arial, helvetica">Enter your comments in the space provided below:</font></strong></p>
<dl>
<dd><font face="Verdana, arial, helvetica"><textarea name="Comments" rows="5" cols="42"></textarea></font></dd>
</dl>
<p><strong><font face="Verdana, arial, helvetica">Tell us how to get in touch with you:</font></strong></p>
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<dd>
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<td><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica"><font face="Verdana, arial, helvetica">Name</font>
<td><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica"><font face="Verdana, arial, helvetica"><input type="text" size="35" maxlength="256" name="Username">
</font>
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<td><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica"><font face="Verdana, arial, helvetica">E-mail</font>
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<td><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica"><font face="Verdana, arial, helvetica">Tel</font>
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<td><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica"><font face="Verdana, arial, helvetica">FAX</font>
<td><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica"><font face="Verdana, arial, helvetica"><input type="text" size="35" maxlength="256" name="UserFAX">
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</dd>
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<dd><font face="Verdana, arial, helvetica"><input type="checkbox" name="ContactRequested" value="ContactRequested">
Please contact me as soon as possible regarding this matter.</font></dd>
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