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* 1. What local issues are important to you?

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* 2. From your answers above, what are the top three MOST IMPORTANT issues for you?  
Write the numbers in order in the box below. For example, write 2, 12 and 7 if you are most concerned about crime, roads and planning.

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* 3. How would you like to hear from the Parish Council ?
Please tick all that apply in the boxes below

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* 4. Of the above, how would you MOST prefer to hear from us? 
Write the number in the box below (e.g. 1 for Facebook)

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* 5. Is there anything else you'd like to share?
If you leave your contact details we will only use them for the purpose of your query or to follow up a concern.

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