Orange County NC Website
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NCACC Pate 1 of 2 <br /> - Form Center <br /> [_--_ <br /> By signing in or creating an account, some fields will auto-populate with your <br /> information and your ted forms will be saved and accessible to you <br /> Submit a Legislative Goals Proposal <br /> Date* Name of county/affiliate organization* <br /> I |First Name Last Name <br /> l- - _ ---- - '--' - -- ' -- ---'' ~---- - ------ <br /> Title <br /> |--�--- --'------�--------- --- -'-- ' '---- --- - <br /> Address <br /> [— — ----�----'---�'- -��-----'----�-------�---------� <br /> City State Zip ' <br /> r_______ ______ <br /> Goal title ' <br /> ■ <br /> Goal description <br /> _'_ _ - _ _ ______- __-____. _--______ ___-__- <br /> What is the problem being addressed? <br />