Survey Form


1. Do you support an increase of the cigarette tax if the proceeds of the increase go to fund healthcare?

YES      NO

2. Do you believe our state laws should be tougher on illegal Immigration?

         YES       NO

3. Do you support tightening the regulation of Pay Day Lenders?

         YES       NO

4. Do you support legislation which would allow students to attend any public school their parents choose, on a space available basis?

         YES       NO

Comments and other issues of concern to me:

Tell us how to get in touch with you:

Name
E-mail
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ACCESS CODEPLEASE ENTER ACCESS CODE HERE BEFORE SUBMITTING COMMENTS, IF YOU FAIL TO TYPE IN THE CORRECT NUMBER, HIT THE BACK BUTTON TO AVOID LOSING INFORMATION YOU ENTERED IN THE SURVEY, THANKS FOR HELPING 


 

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