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We need your name in case we have questions.
Email *

Please provide an email address and we will send you a ticket confirmation.
Description of Problem

Please be as detailed as possible.
In your opinion is this a safety concern? *
Yes No

Please indicate if you think this is a safety issue. We encourage you to report safety issues in person or via the telephone to the main office 650-493-4249 Ext 101
Phone Number ### - ### - ####
If it easier for you to describe your problem on the phone. Provide your phone number.
Pictures?

If you would like to send a picture of the issue; please attach it to an email and send it to: facilities@paloaltoelks.org
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