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2. Name*
3. Email Address*
5. Your Organization *
7. Address*
8. Phone Number*
10. City
12. Check this box to become a local 2020 Census Complete Count Partner*

    1. Count us in! We support the 2020 Census. Include my organization as a 2020 Lombard Complete Count Partner.
14. As a partner, my organization would be interested in (check all that apply):

    1. Sharing/posting 2020 Census materials (posters, flyers, information cards, brochures) at our organization for customers or employees
    2. Incorporating Census info into customer correspondence, newsletter, social media, mailings, emails, bills, website, or other communications
    3. Sharing information within our organization for employees/members
    4. Hosting a census event or incorporating census info or a speaker into an existing event
16. Share your thoughts, ideas, questions and concerns regarding the 2020 Census with us here.
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18. Submit

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