Note: The underlined items are required fields.

Full Name		Postal Code
Company		Phone
Mailing Address		Fax
City		E-mail

1. Are you a resident of downtown Austin? Yes No

2. Are you a business owner? Yes No

3. How did you first find out about the Downtown Austin Community Court?
   Newspaper Television Radio Internet Friends/Family

4. How do you feel about security in the downtown area?
   Adequate Security Not Adequate Security

5. Additional Comments:
   enter your comments here.