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2. 
4. We want to hear (from your perspective and experience) what it means to be a part of the Campbell County community. By sharing your positive observations, experiences, and photos of Campbell County, you can help us convey to businesses, families, and visitors the essence of living, working, and growing in this remarkable and inviting community. Selected quotes will be shared on the website in conjunction with our "Be Campbell" photos and messaging.
6. First Name
7. Last Name
9. Address
11. City
12. State
13. Zip Code
15. Phone Number
16. Fax Number
18. Email Address
20. What does "Be Campbell" mean to you? *
    Tell us what makes you proud, happy, sentimental, etc. about being a Campbell County resident, business owner or visitor.
22. Attach any photos of Campbell County you'd like to share.
24. Release
    I agree that by signing this form with the electronic signature below, that I give Campbell County, its agents, and representatives, the permission and authority to use any comments, photos, or materials I submit with this form for publishing online or in any promotional format the Campbell County organization deems fitting and save harmless Campbell County, its agents and representatives from any impacts of using this content.
26. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your submission will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
28. Electronic Signature
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field