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2. Butte-Silver Bow Consumer Complaint Form
4. My Complaint Is Regarding*

   1. Food Service (Restaurants/ Bars/ Bakeries/ Meat Markets/ Delis/ Etc.)
   2. Packaged food bought in a store
   3. Lodging (Hotels/ Motels/ Inns/ Tourist Homes/ Bed and Breakfasts)
   4. Pools/ Spas/ Other Water Features
   5. Campgrounds (R.V. Parks/ Mobile Home Parks)
   6. Other
6. Establishment Name*
8. City and/or location within Silver Bow County*
10. Date of incident
    Date of incident

    Date of incident
12. Brief description of incident*
14. Your Information
16. First Name*
17. Last Name*
19. Preferred Phone Number
21. Your Email*
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

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