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5. Today's Date:*
   Today's Date:
7. Your Department:*

   List which department you work in

9. Your Name:

   While not required, it would be helpful if we could reach you should we have further questions regarding your idea.

11. Your Idea:*

    Provide details around your idea.

13. What's the benefit?*

    How will this benefit the Town?

15. Additional Comments:

    Add any additional thoughts you might have regarding your idea.  How do you envision the implementaion of your idea?

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16. 1. Receive an email copy of this form.
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