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Humane PA Endorsement Survey
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Email
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Your email
First Name
*
Your answer
Last Name
*
Your answer
Address 1
*
Your answer
Address 2
Your answer
City
*
Your answer
ZIP Code
*
Your answer
Phone number
*
Your answer
Party
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Democratic
Republican
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Other:
What is your campaign website URL?
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What is your campaign facebook page?
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Office sought
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Governor
Lt Governor
Senator
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