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2. We are looking to recognize those in our community that have made a positive impact by performing small or large, good deeds in Fuquay-Varina. We need your help to find those people who have made an impact for someone, a neighborhood or for the entire community. Our goal is to recognize them on social media and tell their story and impact on the community. Let’s face it, we could all use some uplifting news right now! Our Good Samaritans need to be Fuquay-Varina citizens.
4. Good Samaritan Information
6. Name
8. Address
10. City
11. State
12. Zip Code
14. Phone Number
15. Email Address
17. Nominator Information
19. Name
21. Address
23. City
24. State
25. Zip Code
27. Phone Number
28. Email Address
30. Tell us something good?
    What’s the good deed? Who did it impact? Why is it important? Did it help a neighbor? The Community? Why does this person deserve recognition?
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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

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