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DE Signature Gathering Tracker
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* Indicates required question
Email
*
Your email
Collector's First Name
*
Your answer
Collector's Last Name
*
Your answer
Date Submitted (Today's Date)
*
MM
/
DD
/
YYYY
Collector's Phone Number
Your answer
Location of Collection
*
Your answer
Date of Collection
*
MM
/
DD
/
YYYY
Number of Signatures
*
Your answer
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