First Name *

Last Name *

Physical Address (no PO Box) *

Check if your mailing address is the same as your physical address Same
Mailing address if different from physical address:

Email *

Telephone Number *

Would you like to be added to the Beaufort County One Cent Sales Tax Newsletter
YesNo

Are you in favor of the proposed 8' shared-use pathway? YesNO
If no, are you in favor of a reduced width pathway/sidewalk? YesNO

Please provide any other comments

* Required Information.