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Local Official

County(*)
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Local Official's Name(*)
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Local Official's Title(*)
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Point of Contact(*)
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Point of Contact Email(*)
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Point of Contact Phone(*)
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Point of Contact Street Address(*)
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Point of Contact City(*)
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Point of Contact ZIP Code(*)
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Do You Plan to Participate?
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MFG Day Activities
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Will You Be Issuing a County/City Proclamation?
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