ComPortOne needs your help to update its Local Information. This is at no cost to you!!! Print this form, fill it in, and mail to:
ComPortOne
5448 Shamrock Ln
Roscoe, IL 61073
 
Questions? - call 815-623-7033
or Email ceccles@charter.net
Person filling our this form:
Name____________________________

Title______________________________

Phone__________________________

Email___________________________

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City / Town _____________________________________________________

County ___________________________________________________________

Location _________________________________________________________

Town Population/year ______________ County Population/year ______________

5 Top Employers - What they produce or service provided - # of employees

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Utilities Suppliers

Gas __________________________________________________

Electric _______________________________________________

Local Telephone ________________________________________

Cable _________________________________________________

Available: (check please)
Well water_____Septic system_____City water______City sewer____

Representatives District #__________

names _______________________________________________________

Senate District # _________

names _______________________________________________________

Congressional District #_______

names _______________________________________________________

Nearest Hospital _________________________________ # miles away _______

Number of: Doctors in community ___________ Dentists _________

Education:
# of ____ Elementary Schools / Total #r of elem students __________

# of ____ Secondary (middle or jr high) / # of middle students__________

# of ____ High Schools / Total # of high school students____________

Community college in your area? Please list name and distance from town.

___________________________________________________________

Fire Dept # of employees ______ full-time _____part-time _____ volunteers

Police Department # of employees __________ full-time __________ part-time

Please send additional information if you'd like on what is unique or special about your town. A history would be ideal, include a picture, town logo, etc, if you'd like this to be featured. Your town's events can be included in ComPortOne's events calendar section. Please send brochures and other promotional items. Any information (and especially logos) saved to disk (in JPG, GIF, or ASCII text file) are appreciated. (Sorry, logos will not be featured on a free site unless they have been submitted in the aforementioned acceptable format, unless you are willing to pay the Graphic Artist an additional fee.)

ComPortOne is also interested in a list of elected officials, name, addresses, and phone# and also your local school board members (names, addresses, and phone # to be listed in ComPortOne's local government section.

Thank you, Connie Eccles, CEO, ComPortOne.
Check us out at http://www.comportone.com