Polk Center Questionnaire

Please share your comments or concerns about the proposed closing of Polk Center.
These will be directly forwarded to Senator Scott Hutchinson.

You can share the link http://bit.ly/PolkCenter with others

Your Name

Address Line 1

Address Line 2

City

Zip/Postal Code

Phone Number

Email Address

Relationship to Polk

Family Member Employee Community Member Other

Comments/Concerns

Upload File

Option to include documents