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Multifamily Survey Raffle Drawing Entry Form

Please correct the field(s) marked in red below:

Thank you for taking the time to complete our City of Mesa multifamily trash service survey.  We invite you to enter our raffle drawing for a chance to win a lunch party for your office staff.  Winner will be contacted by 9/17/15.

Please provide the following information:

Contact Name


Community Name




Number of office staff employees


One entry per multifamily community.

  1. To receive a copy of your submission, please fill out your email address below and submit.