Contact 1

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Last Name

Constituent Info - Individuals

Phone Number

Email

Preferred means of contact

Email

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Phone Call

How did you hear about ACER?

- Select -Interaction during door knocking/canvassingInteraction during tabling at eventsReferred by friend or familyReferred by ACER EmployeeSocial Media (Facebook, Instagram)Social Media (LinkedIn)Social Media (Twitter)Referred by a different organizationGoogle or other search engines

Initial Intake

Area of enquiry

- Select -Need Assistance as a Small Business OwnerBecoming an ACER ConsultantTrainings AvailableCivic engagementHousing JusticeHealth EquityVolunteer Opportunities

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