Krimson PAC Candidate Questionnaire

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Provide your contact information

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First and last name
*

Your answer

Home Address
*

Your answer

City
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State
*

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ZIP code *

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Email
*

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Best Phone Number
*

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What is your gender identity?

Your answer

How do you describe your ethnicity?

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This form was created inside of Krimson Political Action Council.

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