Provide a list of individuals for OFWIM Organization memberships.
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Primary organization contact:
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Title
Primary organization contact:
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Amy Martin
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804-367-2211
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804-367-2211
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amy.martin@dwr.virginia.gov
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amy.martin@dwr.virginia.gov
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Is the primary contact to be included as an OFWIM member?
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Is the primary contact to be included as an OFWIM member?
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Section 2 of 2
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Members
Description (optional)
Please list up to 5 individuals below (if the Primary Organizational Contact will be a member) within your organization for Organizational Membership. You may list up to a total of 6 individuals for Membership.
Susan Watson
*
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Susan Watson
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804-367-1185
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804-367-1185
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Susan.Watson@dwr.virginia.gov
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Susan.Watson@dwr.virginia.gov
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________________________________________________
*
Title
________________________________________________
*
Description (optional)
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Tim Owen
*
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Tim Owen
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804-367-1185
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804-367-1185
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tim.owen@dwr.virginia.gov
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tim.owen@dwr.virginia.gov
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________________________________________________
*
Title
________________________________________________
*
Description (optional)
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Alicia Motz
*
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Alicia Motz
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804-367-4333
*
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804-367-4333
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alicia.motz@dwr.virginia.gov
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alicia.motz@dwr.virginia.gov
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________________________________________________
*
Title
________________________________________________
*
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Nick Minneti
*
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Nick Minneti
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804-367-2096
*
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804-367-2096
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nick.minneti@dwr.virginia.gov
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nick.minneti@dwr.virginia.gov
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________________________________________________
*
Title
________________________________________________
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Jim Husband
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Jim Husband
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804-367-8391
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804-367-8391
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jim.husband@dwr.virginia.gov
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jim.husband@dwr.virginia.gov
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________________________________________________
*
Title
________________________________________________
*
Description (optional)
Only enter values in the fields below if the primary contact is not to be included as an OFWIM member
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6.) Name
*
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6.) Name
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Phone
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Phone
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Email
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Email
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Primary organization contact:
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804-367-2211
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amy.martin@dwr.virginia.gov
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Is the primary contact to be included as an OFWIM member?
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Members
Susan Watson
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804-367-1185
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Susan.Watson@dwr.virginia.gov
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________________________________________________
Tim Owen
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804-367-1185
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tim.owen@dwr.virginia.gov
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________________________________________________
Alicia Motz
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804-367-4333
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alicia.motz@dwr.virginia.gov
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________________________________________________
Nick Minneti
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804-367-2096
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nick.minneti@dwr.virginia.gov
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________________________________________________
Jim Husband
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804-367-8391
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jim.husband@dwr.virginia.gov
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________________________________________________
6.) Name
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Phone
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Email
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