Thank you for your participation in this 2 minute survey. The data below will be used to create a community of interest for Michigan Redistricting Map in addition to marketing package(s) to potential sponsors for notable upcoming programming. Please submit one (1) survey per household. Again we greatly appreciate your support!

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* 1. Full Name

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* 2. Email Address

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* 3. Are you of Caribbean heritage?

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* 4. What Caribbean country?

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* 5. How many person in your household?

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* 6. What city and county do you live? If Wayne county, please enter zip code also.

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