Please supply your information!

Information gathered in this poll is confidential and may only be used to verify the legitimacy of your registered voting status. If you are a resident of Josephine County please take a moment to fill out this entire survey. It should only take a few minutes and it's critical to provide your input! Please see www.SecuringOurSafety.org for information about the group hosting this survey.

* 1. Are You a Registered Voter in Josephine County?

* 2. Do you live inside the boundaries of the City of Grants Pass?

* 3. Would you like to receive e-mail updates from the Securing Our Safety group that is hosting this survey?

T