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* 1. Contact Information

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* 2. What is your involvement or interest in Habitat for Humanity?

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* 3. Do you feel Habitat for Humanity – La Crosse has been an important part of the region?

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* 4. The $2M campaign will help expand programming in the following ways:

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* 5. What do you believe to be the most important benefits of the program expansion?

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* 6. Please answer if you believe the proposed fundraising campaign will be accepted and supported by area leaders?

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* 7. What are names of individuals would you expect to see in leadership positions in a campaign?

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* 8. Campaigns have many different committees that work together to prepare the campaign for solicitation. Would you consider leading one of the committees?

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* 9. Would you consider leading or working on one the committees? If so, please select a committee.

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* 10. This is at a very initial stage of a potential capital campaign, but do you believe you (or your company) would consider making a pledge to the campaign?

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* 11. The Campaign Readiness Study helps determine if the community is willing to support a campaign. This is not an actual solicitation and you are not obligated to give a gift in a range you indicate, but if you would consider a tax deductible charitable gift, which one of the following ranges would you be interested in at this time?

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* 12. What if any limitations do you believe Habitat for Humanity - La Crosse is facing currently?

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* 13.  Do you have any questions or concerns?

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