Rally Attendee Questionnaire for the Re-Claim America Rally June 14th.
Submission deadline: 06/14/14.

Your reasons for attending the 06/14/14 rally:

























Next Rally:

Would you attend the next rally on 06/14/14?           


Would you inform your family, friends and neighbors of this next rally?          

Your Party / Political Preference for the 2014 Congressional Elections:



















Age Range:

                             

2016 Presidential Candidates – Your Top 3 Preferences as of Today:

Last name only:
Reasons (limit 500 characters):




Would you re-elect your current senators and house rep in the upcoming 2014 midterm election?

Note: this optional question requires an eVoiceAmerica account.

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