2. 

   CHARTER TOWNSHIP OF LENOX

   GENERAL INQUIRY FORM

   63775 Gratiot Ave. Lenox, MI 48050

4. Please complete the online form below to submit your inquiry/feedback.
6. Contact Information
8. First Name*
9. Last Name*
11. Address1*
13. Address2
15. City*
16. State*
17. Zip*
19. Home Phone Number*
20. Cell Phone Number
22. Daytime Phone Number
23. Email Address*
25. Please Specify General Inquiry, Request for Service or Feedback*
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

* indicates a required field