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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your email?

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* 4. What is your postal code?

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* 5. Which voting system should we adopt?

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* 6. Do you support the following proposals?
(Choose as many as you support)

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* 7. Which are the top three issues to you?
(Please rank only three)

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* 8. Additional comments

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