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* 1. Please rate your self-interest on these current MICAH Issues. # 1 is the one you are most passionate about down to # 4. We will use this information in preparation for a powerful 30th Anniversary Public Meeting on Thursday October 25th. Please include your name and contact information if you want to work on your top issue and you are not currently engaged with a MICAH Task Force addressing this issue. Please respond to this electronic survey or return this form to a MICAH congregation/ member or the office at 2821 N. 4th St. between 9 a.m. – 5 p.m. no later than Monday August 6, by 10:00 a.m. to be included in the count. Call 414-264-0805 to confirm someone is at the office if returning it there. Thank you for your time and response. Rev. Marilyn Miller, President

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* 2. Optional contact information

Thank you again for your action and response!

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