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* 1. Company/Personal Information (Optional)

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* 2. What are your top voter concerns? (Mark from 1-greatest to 12-least)

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* 3. What legislative concerns do you believe impact your business? (To learn about the current Senate legislative bills, follow this link: https://www.flsenate.gov/Session/Bills/2016)

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* 4. How can the HCCMO and the Get Out To Vote (GOTV) Campaign partner with your Company?

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