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* 1. What is your first name?

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* 2. Name of your Local Arts Agency

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* 3. What towns are served by your Local Arts Agency?

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* 4. Who can we contact for more information on your Local Arts Agency? (Please provide name, phone number, and email address)

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* 5. Does your Local Arts Agency have a dedicated operating budget? If yes, how much is the annual operating budget?  You may enter Do Not Know.

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* 6. Does your Local Arts Agency have a dedicated staff member?  You may enter Do Not Know.

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* 7. What program and services are offered by your Local Arts Agency?

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