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With a hero, Baroness Thatcher


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Meeting London's and Yorkshire's finest at the Conservative Party Spring Forum 2009


.....Janice Small's Local Survey
What local issues
concern you ?

(Please selecta numbers from boxes)
What three national
issues concern you most?

(Please selecta numbers from boxes)
1= Not concerned
10= Very concerned
Environment
Health
Council Tax
Education
Roads & Transport
Law & Order
Waste Collection
Economy
Car Parking
Immigration
GPs/Dentists
Transport
Other (please specify)
Other (please specify)

If there were a General Election tomorrow, who would you support?
Conservative Labour
Liberal Democrat Other

Who did you support at the last General Election?
Conservative Labour
Liberal Democrat Other
Can you help Janice win for Batley & Spen?
I would like to register as a supporter
I wish to become a member
I wish to deliver leaflets in my local area
I would like to display a poster
Required*
Name:*
Email:*
House No:*
Post Code:*
Tel:
Mobile:
Age:*
D.O.B:*
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Thank you for your time.
Information given in this form may be entered onto a computer database for the sole use of the Conservative Party and its agents. If you are registered with the Telephone Preference Service and give us your telephone number, this will be taken as permission to call.
Promoted by Maurice Cook on behalf of Janice Small both of C&K CCHQ, Spring Villa, 16a Church Lane, Brighouse, HD6 1AT. Printed by Yorkshire Conservatives, Cumberland House, Bradford BD8 9TF.
 
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Survey 2010

 

Promoted by Maurice Cook on behalf of Janice Small both of C&K CCHQ, Spring Villa, 16a Church Lane, Brighouse, HD6 1AT.