Please reply to all of the * questions below.  Multiple choice is permitted for all other questions.

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* 1. What is your full name?

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* 2. What is your email address?

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* 3. What is your preferred phone number?

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* 5. Please select the issues/interests that are MOST important to you:

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* 6. Please identify any expertise that you have which you can share with Tredyffrin Dems:

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* 7. Which roles would you consider serving in?

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* 8. Identify any committee(s) that you would consider serving on:

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* 9. How involved would you like to be in Tredyffrin Dems? (move slide to right)

Too busy with life to do much more than send emails I am so upset about the election that I want to devote as much time as my schedule will allow.
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i We adjusted the number you entered based on the slider’s scale.

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* 10. Other comments/suggestions for the Tredyffrin Dems to achieve our goals and objectives.

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