Information Request Form

All form fields marked with an asterisk (*) below must be filled out completely for a reply which the City of Covina will do either in writing or by phone (not by E-mail). This form for use by companies only - students or job-seekers should make all requests to the City of Covina in writing by regular mail with a return address/stamped envelope enclosed.

* Name:
* Company Name:
* Number of Employees:
* E-mail Address:
Web Site Address:
* Phone number (MANDATORY):
Fax number:
* Address:
Additional Address Info:
* Current City: * State: * Zip:
How did you find the Covina ecdev.covina.ca.us Page?
Is your company or corporation relocating soon? (yes/no) | If yes, when?

Are there any questions we can answer for you, or comments you'd like to make?

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