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Canvasser Name

Password

House Apartment

Password is incorrect

Green Party Survey (House)

Street name

Street Number

Support Level

Notes (Optional)

Password is incorrect

Green Party Survey

Street Number

Street name

Green Party Survey (Apartment)

Current location survey:

Unit Number

Support Level

Notes (Optional)

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Previous Submission

Canvasser:

Address:

Unit Number:

Support Level

Notes

Time