form

Citizens Taking Action

for transit dependent riders

Form for Customers to Comment, Complain or Compliment on any aspect of public transit operations. This is the hard copy version. For electronic

Please describe briefly your concerns that should be brought by our organization to the attention

of the appropriate person or party responsible for a remedy, or incident that merits investigation.

Bus Route #__________

El Line______________

Station / Stop_________

Optional:

I would like to be contacted further regarding this matter:

Name____________________________________Telephone___________________________

Address__________________________________City/Zip Code_________________________

E-Mail____________________________________

Print and Return to: Or, Send Your Concerns to Our Secretary

Citizens Taking Action e-mail to: cpaidock@hotmail.com

PO Box 37- 8684

Chicago, IL 60637

Please Add My Name to Mailing List - free

Membership / $1.00 a Month / $12.00 per year / Payable to Citizens Taking Action