Rep. Deena Horst 2010 Legislative Survey

1. Your Information

17%

The 2010 Kansas Legislative Session is coming to the time when the Legislature considers the final resolutions of our state’s issues. Please consider sharing your thoughts and opinions with me by completing my 2010 survey. Your input is a very important part of my decision making process. Thank you for taking time to answers the following questions.

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1. Please provide the following information so I may verify you live in the 69th House District. If you don't live in the 69th and still want to complete the survey, I will make sure your representative gets your survey answers.

Also - make sure to provide me your email address if you would like to receive my e-newsletter and other updates.

Please provide the following information so I may verify you live in the 69th House District. If you don't live in the 69th and still want to complete the survey, I will make sure your representative gets your survey answers. Also - make sure to provide me your email address if you would like to receive my e-newsletter and other updates. Name:
Address:
City/Town:
State:
ZIP:
Email Address:
Phone Number:
What House District do you live in?