District 7 URLThis field is for validation purposes and should be left unchanged.Name(Required) First Last Phone(Required)Email(Required) CCEC Account Number(Required)Last Four Digits of SSN(Required)CCEC Service Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Write in the Name of the Board Candidate You Are Supporting for District 7(Required)Terms and Conditions(Required)By signing below, I affirm that I am the person whose name appears on this petition. I certify that I am eligible to sign as a member of Carteret-Craven Electric Cooperative’s District 7 and that I do so voluntarily, of my own free will, without any coercion, intimidation, or undue influence. I understand that providing false information or signing on behalf of another person may be a violation of law and subject to penalties. I confirm that I have read and understood the terms outlined above.Signature(Required)
