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Contact EVCNB
Please Provide Your Information
Name
*
First Name
Last Name
Nickname
Name you would use in a "Dear Whatsyourname" email
Email
*
Verify Email
*
Phone
Cell phone
Nehalem Bay Area Physical Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Mailing Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Why are you contacting the EVCNB today?
How often are you here?
Full time
Part time
I rent full time
My home is a short-term rental
I own the property, but rent it full time
Do you have a Disaster Plan?
Includes a contact out of the area, a plan to reach each family member
Yes
No
Do you know your Evacuation Route?
Know how and where to go in an emergency
Yes
No
Do you have a GoBag?
A grab-and-go bag containing 3 days of essential needs (food, water, medicine, etc.)
Yes
No