Neighborhood Survey
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Mainspring of Ephrata is a non-profit organization dedicated to improving our community. Your assistance with filling out this survey will help us accomplish our mission!
Be entered to win one of ten gift cards to a local Ephrata business by completing this survey!
[Providing your name and address is optional, but it will be needed to be given in order to be eligible for the gift card drawing]
Name
Street Address
Email Address
Phone Number
What is your age range?
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