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First Name
*
Last Name
*
E-Mail Address
Phone Number
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I am a...
Resident of Ahoskie
Business Owner
Town Employee
Other
Please include details of the issue or concern you would like to notify the Town Management of:
Would you like someone to follow up with you about this issue?
Yes
No
Best Method of Contact:
Email
Phone
Best Time to Call:
Morning
Afternoon
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