Name *

First Name

Last Name

Address

Address 1

Address 2

City

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Phone *

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Commitment Statement *

When you lock in, you are committing to building a better Durham for everyone. This is your step in toward action, engagement, and leadership in shaping the future of our city.

Yes, I am officially locking in my commitment to actively support The Campaign for Mayor Bell and building a better Durham for everyone.

Date *

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DD

YYYY