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Sam Rae
Labor candidate for Hawke
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Home
About
About Hawke
Media
Get involved
Community Survey
Youth Advisory
Get in touch
Community Survey
I want to hear from you about the issues that are important to our local community.
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First Name
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Last Name
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Email
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Phone
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Please rank your top 3 issues in order of importance to you below (with 1 being the most important).
Issue 1
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Jobs
Roads & Infrastructure
Environment
Economy
Health
Education
Other: please specify
Issue 2
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Jobs
Roads & Infrastructure
Environment
Economy
Health
Education
Other: please specify
Issue 3
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Jobs
Roads & Infrastructure
Environment
Economy
Health
Education
Other: please specify
Issue 1 Other, please specify
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Issue 2 Other, please specify
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Issue 3 Other, please specify
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Address
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Street Address
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State
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What else is on your mind?
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