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This is a pre-chat survey

Once you click "submit" at the bottom of this page, you will be connected with an OCRCC team member to chat with.

If you would prefer to text or call, please reach out to those numbers directly (919-967-7273 for calls, 919-504-5211 for texts).

The following is used for conversational purposes only and is optional. = Lo siguiente es solo para el propósito de la conversación y es opcional
Would you mind entering your name or alias?
Would you like to share your phone number? Desa compartir su número de teléfono?
Is it safe for OCRCC to contact by the following means (if applicable for future contacts)? Por favor dejenos saber que medio de comunicación podemos usar para contactarlo?

To enable Google Chat or SMS (text) communications please provide the following info:
Cellular Number:
Optional: Create a username & password for future use.
User name: 
(6 - 12 characters)
(6 - 12 characters)
Confirm Password 

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