Form Center

2. Name
3. Email Address
5. Address
7. City
8. State
9. Zip Code
11. Phone Number
13. Place of Work / Title
15. Please list all community organizations, committees, or non-profit organizations you are currently involved with.
17. Each Committee meets for approximately one hour each month. Will you be able to consistently attend meetings?

    1. Yes
    2. No
19. Do you own property or a business downtown?

    1. Yes
    2. No
21. Please explain how you would like to contribute to the Downtown Pittsboro efforts and how our organization would benefit from your involvement.
23. What Committee would you be most interested in serving on?
    -- Select One --Promotions CommitteeEconomic Vitality CommitteeDesign Committee
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field