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CUSH Contact Information Survey
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What is your first name?
*
Your answer
What is your last name?
*
Your answer
What is your preferred email address?
*
Your answer
What is your preferred phone number?
*
Your answer
Are you affiliated with a congregation?
*
Yes
No
If so, which one?
Your answer
Which social justice issues are you interested in?
Immigration
Racial Justice
Criminal Justice Reform
Censorship
Environmental Justice
Voter Engagement
Homelessness
Are you interested in volunteering with CUSH?
*
Yes
No
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