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Signature Date Check the BEST time for QuitlineNC to call 6am 9am 9am 12pm 12pm - 3pm 3pm - 6pm 6pm - 9pm 9pm 12am NOTE The QuitlineNC is open 7 days a week but call attempts to participants are only made until midnight. I request QuitlineNC to contact me to help me with my quit plan. Initial I DO NOT give permission to QuitlineNC to leave a message when contacting me. QuitlineNC FAX REFERRAL FORM ENGLISH Fax completed form to 1-800-483-3114 Referring Organization Information Date Fax Sent...
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