CityWheels Carsharing
11309 Euclid Avenue
Cleveland, OH 44106

Tel: 216.795.2345
Fax: 216.916.7326

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First Name: *
Last Name: *
Email Address: *
City or district where you would use car-sharing:
How often would you use a car if it were there?		(Select One) 5 or more times per week 2-4 times per week 4-6 times per month 1-3 times per month Less than once per month
Would you consider replacing an existing vehicle with carsharing?		(Select One) Yes No Maybe Don't own a vehicle
Comments:
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