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Intake form
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Name
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Email address
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Phone number
What is your preferred method of contact?
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Email
Phone
SMS
Which political party are you interested in joining?
Please select at least one option.
New Democratic Party (NDP)
Other Political Party
What is your primary interest in joining a political party?
Please select at least one option.
Advocacy
Community Engagement
Policy Reform
Networking
What is your priority need from the federal government?
What is your priority need from your state government?
What is your priority need from your local government?
How did you hear about 9ja voters network?
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Social Media
Word of Mouth
Online Search
Event
Would you like to participate in community engagement activities?
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Yes
No
Are you interested in providing feedback on political party manifestos?
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Yes
No
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