2. Please provide your comments and concerns regarding the community bus service in Hallandale Beach*
4. Which route is the comment for*

   1. Route 1
   2. Route 2
   3. Route 3
   4. Route 4
   5. All Routes
5. Type of comment/concern*

   1. Driver
   2. Route
   3. Mini Bus Service
7. Phone Number or Email*
8. Occurrence Date*
   Occurrence Date
9. Occurrence Time*
   Occurrence Time
11. First Name
12. Last Name
13. Address
15. The City of Hallandale Beach is committed to improving our Community Bus service. Please be sure to complete our quality service survey. Thank you for choosing the mini bus as your transit alternativie!
17. Internal user (intials)
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19. 1. Receive an email copy of this form.
20. Email address

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21. Submit

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