Mobile Area Economic Roundtable Planning Roll Call
 Economic Roundtable participant input(s)
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Name *
Phone *
Email *
County *
Organization *
Organization Formation *
Role in Organization *
Area(s) of Expertise (What specific strengths do you bring to the working group?) *
Primary Focus Area or America's Rescue Plan (Leave blank if not applicable)
Secondary Focus Area or America's Rescue Plan (Leave blank if not applicable)
Needs - In what ways can the working group help you and your organization's community development efforts?) *
Referrals - (List any individual that you think should be a part of this working group that is not currently involved. List name, phone number and/or email address)
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