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Exit Survey
 
 
Let's vote local!
 
 
 
What state are you taking this in?
 
 
 
Are you registered to vote?
 
Yes
 
No
 
 
 
What affects your life more?
 
Fed Gov't
 
Local Gov't
 
 
 
When would you like to vote next?
 
4 years
 
2 years
 
now
 
 
 
Want to receive email alerts?
 
Yes
 
No
 
 
 
Email Address
   
 
 
Contact Information
First Name : 
Last Name : 
Phone : 
Email Address : 
 
 
 
Zip Code