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* 1. First name:

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* 2. Last name:

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* 3. What is your home address?

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* 4. What county do you live in?

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* 5. Email address:

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* 6. Mobile phone:

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* 7. How would you like to be contacted?

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* 8. Would you attend a candidate coffee or town hall meeting in your community for:

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* 9. Would you submit a Letter to the Editor or an Op-Ed to your local media?

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* 10. Do you expect to attend a caucus in 2020?

T