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Jeffersonian Dinner Questionnaire

Full Name: *

Profession: *

Where do you fall on a political continuum? *

Very Conservative
Conservative
Somewhat Conservative
Neutral
Somewhat Liberal
Liberal
Very Liberal

Why are you interested in attending a Jeffersonian Dinner? *

Which dinner(s) are you interested in attending) *

October 30th: What Does Freedom of Speech Mean to You?
January 29th: The Second Amendment, The Right to Bear Arms
February 26th: Immigration to The USA

Would you like to be considered as a future host for a dinner? (Can be at your home or workplace) *

Yes, please
No, thank you

Please let us know if you have any other ideas for future topics to be discussed:

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