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* 1. I am interested in formalizing my support of Pocahontas preservation by joining an organization dedicated to this.

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* 2. Please indicate the level of commitment you are willing to make to such an organization, selecting all the answers that apply.

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* 3. I am willing to help raise funds towards purchase and/or restoration of the buildings.

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* 4. I am willing to pay annual dues to participate as a member, and I suggest the following amount(s); choose only one, please

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* 5. Who should be allowed to join? Please choose all that apply.

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* 6. I currently live in

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* 7. Did you attend Pocahontas as a student?

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* 8. Did you ever work at Pocahontas in any capacity?

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* 9. Please rank the following possible uses for the buildings at Pocahontas

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* 10. Please elaborate on your answers from the previous question.

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* 11. Who should own the buildings at Pocahontas, at least, in the immediate future? Choose one answer, please.

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* 12. As funds are contributed and/or raised by this group, where do you believe it will be appropriate to spend those funds, with approval from the group's membership, of course? Please choose all that apply.

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* 13. I am willing to make a pledge to contribute a set amount of money towards either the study, the repair and/or the purchase of the buildings at Pocahontas. Please state a specific amount and elaborate on your conditions for following through on your pledge (e.g. only towards repair if no other funds are available),

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* 14. Please share your contact information in the fields provided below. It will only be used for the purpose of forming a preservation plan for Pocahontas.

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* 16. What is your preferred phone number for calls and/or text messaging? Please indicate in the box by including a C for calling and a T for texting so we know which are acceptable.

T