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* 1. If the bus, light rail and dial-a-ride services in your community have recently been reduced or eliminated, how have these changes impacted you or your family?

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* 2. What is your home ZIP CODE?

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* 3. May we post your story on the Arizona Transit Association website?

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* 4. May we contact you to discuss your story?

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* 5. Which of the following choices best describes you?

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* 6. Would you like to receive regular updates and news about transit funding in Arizona and your community?

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* 7. If you indicated we may contact you or if you want updates on transit funding, please give us your name and email address. We will only contact you if authorized above.

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