Join an NCACC Steering Committee

1. First Name

2. Last Name

3. Address1

4. City

5. State

6. Zip

7. County

8. Email (required)*

9. Phone Number

10. Committee Selection (required)*

    Please check which committees you would like to serve on. You may serve on as many committees as you wish.

    1. Agriculture
    2. Justice and Public Safety
    3. Environment
    4. Health & Human Services

    1. Intergovernmental Relations
    2. Public Education
    3. Tax and Finance
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11. 1. Receive email copy
12. Email address

13. Submit

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