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PHILLY MAYOR 2028
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1.
What is your first name?
(Required.)
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2.
What is your last name?
(Required.)
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3.
What is your street address and zip code?
(You
don't
have to write Philadelphia, PA)
(Required.)
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4.
What is your phone number with area code?
Ex. (123) 456-7890
(Required.)
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5.
What is your E-mail address?
Example: User@mail.com
(Required.)
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6.
What political party do you identify with the most?
(Required.)
Democrat
Independent
Log Cabin
Republican
Green
Working Families
Democratic Socialist
Communist
Do Not Wish To Say
Libertarian
Other (please specify)