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* 1. First Name

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* 2. Last Name

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* 3. Email address

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* 4. Cell Phone Number

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* 5. Accept Text Messages

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* 6. Where do you work?

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* 7. Years of service

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* 8. Group Status

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* 9. What hours do you normally work?

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* 11. Please list in order the three (3) issues that are most important to you to be addressed in the new contract? (1 being most important)

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* 12. Are there any OTHER important issues you would like addressed in the new contract? (Please be specific)

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* 13. Are you currently working in a premium position?

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