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* 1. Your name and relationship to the project:

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* 2. What is the best way to contact you for more information, i.e.,  email and/or phone # and best time/day to call

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* 3. Additional contact you would suggest we speak with:

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* 4. In which small town or rural area is the great project/initiative located? (Community and State)

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* 5. Which basic need does the project/initiative address? (Choose as many as apply.)

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* 6. Please provide a brief description. 

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* 7. How did you hear about the New Ruralism initiative?

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