2006 Organic Consumers Candidate Survey

To help with our survey please fill in the missing information.

*First name:
 Neal
*Last name:
 Kurk
  *State:
 New Hampshire   
Office address:
 R#1
City:
 Weare
Zip:
 03281
Phone:
 603-529-7253
Fax:
Party:
 Republican 
Email:
 **************
Website:
Elected office:
 State Representative    District: 7
Incumbent:
 YES
You may edit the following request that will be sent on your behalf:
Dear [Title] [name]:

(a link to the survey form will be included)
[your name]
[your city], [your state] [your zip]

Submitted by:
*Your email:
*Your first name:
*Your last name:
*Your city:
*Your state:
*Your zip code:

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