Assembly Members – Contact Form – City and Borough of Juneau

Select Recipient*

Your Name*

First Last

Contact Information*

Choose how you would like your recipients to contact you.

Email*

Phone*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Subject of Message*

Message*

As an alternative to this form, the entire Assembly may also be emailed at BoroughAssembly@juneau.org using your own email program.

Comments

This field is for validation purposes and should be left unchanged.

Assembly Contact Form