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2. First Name*
3. Last Name*
5. email address*
7. Are you speaking on behalf of yourself or an organization?*

   1. Myself
   2. An Organization
9. Town of Residence (Individual) or Organization Name*
13. Upload materials (optional)

    If you have written testimony or supporting documents that you'd like to submit, you can do so here.

17. The ARPA funds can be spent in the following categories. All fields below are optional - you can submit thoughts in each category, multiple categories, or only one. You can view really helpful guidance on how funds can (and cannot) be spent at the link below.
19. Supporting public health response:
21. Addressing the negative economic impacts:
23. Replacing Public Sector Revenue Loss:
25. Premium Pay for Essential Workers:
27. Water, Sewer and Broadband Infrastructure:
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29. 1. Receive an email copy of this form.
30. Email address

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31. Submit

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