Most questions allow more than one answer, please mark all that apply.

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* 1. I am a

* 2. My political affiliation is

* 3. I attend Windham Democratic Town Committee (Windem) Meetings

* 4. I would attend a Windems meeting or event to hear from a

* 5. I would attend a Windem meeting to hear about

* 6. I may be persuaded to be involved during a campaign (ie: set period of time) for

* 7. I would be interested in helping the Windems with

* 8. I am interested in

* 9. I am interested in connecting with others to attend these types of events outside of Windham

* 10. I answered that I am interested getting involved or maybe running for office.  My contact information so you can help me get started is: