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NCACC Steering Committee Signup Form
| Name: |
County: |
| Address: |
Phone: |
| City: |
Zip: |
| e-mail: |
Fax: |
Please check which committees you would like to serve on. You
may serve on as many committees as you wish.
__ Agriculture
__ Justice and Public Safety
__ Environment
__ Human Services
__ Intergovernmental Relations
__ Public Education
__ Tax and Finance
Please print out and mail to:
NCACC
P.O. Box 1488
Raleigh, NC 27602-1488
or fax to (919) 733-1065
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