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Free Fare February survey
Please fill this out by COB Wednesday, January 12th. Thank you!
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* Indicates required question
What is your name?
*
Your answer
What organization do you represent?
*
Your answer
Is your organization interested in supporting Free Fare February?
*
Yes
No
Maybe
If so, what kind of contribution might your organization be able to make? (Check all that apply.)
*
Financial support
Media support
My organization provides employee passes already and will continue to provide those in February
Other
Required
If you are able to contribute financially, please estimate the amount here, if possible.
Your answer
Who is the point person at your organization for this effort? Please include their email and phone number.
*
Your answer
Anything else you'd like to add?
Your answer
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