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2. Please complete the online form below to submit your message to the Water Conservation Program.
4. Contact Information
5. 
   
7. First Name*
8. Last Name*
10. Contact Phone Number:
11. Email Address:*
13. What is your message about?

    1. Rebates & Incentives
    2. Fix a Leak
    3. Imagine a Day without Water

    1. Water Conservation Program
    2. Water Conservation Resource
    3. Events & News

    Check all that apply
14. Do you live in the City of Charlottesville?
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16. Enter your message here*
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