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Title/Position
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Campaign/
Organization
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Telephone/Fax
E-Mail
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Which
communications tools interest you?
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Whichof
the following voter contact services interest
you? (Check all that apply.)
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What
level is this grassroots program?
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Desired
start date?
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What
is the Universe size?
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If
this is a telephone program, in which
time zone(s) would we be calling?
(Check all that apply)
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If
this is a telephone program, would we
be calling?
(Check all that apply)
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