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1. What level of office are you most interested in running for?

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2. What are your main motivations for running for office? Select all that apply.

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3. How familiar are you with the process of running for office?

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4. How important is supporting local businesses to you?

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5. Have you previously participated in any local chamber of commerce activities?

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6. What does supporting local businesses mean to you?

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7. Name

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8. Please provide your address.

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9. Phone Number

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10. Email address

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11. Please provide a brief work history for the last five years

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