Mailer Mail-back Card Questionnaire

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* 1. Topics Important to Me:

Housing

Environment

Food Affordability

Agriculture

Seniors

Health Care

Specifically:

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* 2. I also want to bring the following to your attention:

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* 3. Name:

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* 4. Address:

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* 5. Email:

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* 6. I would like to receive email updates:

Yes

No