JFK Causeway Bridge Maintenance Project Business Survey
The City of Corpus Christi needs your information to keep you up to date on the JFK Causeway Bridge Maintenance Project.
Date of Visit
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Business or Resident
Business
Resident
Business Name
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Business
Restaurant
Retail
Service
Specialty
Other
If selected 'Other' above please describe your business.
Does the business have a website or social media?
Would you be willing to host a meeting?
Yes
No
Maybe
Primary Contact Information
Primary Contact Name
*
First Name
Last Name
Email
*
example@example.com
Primary Phone Number
-
Area Code
Phone Number
Secondary Contact Information
Secondary Email
example@example.com
Secondary Phone Number
-
Area Code
Phone Number
Comments
Notes & Observations
Send me a copy of my responses here:
example@example.com
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