Survey : Questions

Harriet Tubman Sign Up Survey

Required Question(s)

	Thank you for participating in the Harriet Tubman Lives Project. Please fill out this survey as best you can and we will get back to you via email with an instruction packet on how to participate. Thanks again, Nick & Bruce Lifenaut.com

1.

Please enter the information indicated below. We will use this info to contact you regarding the project and to email you instructions. Your information will not be shared with anyone.

First Name:
Last Name:
Email Address:	emailaddress@xyz.com
State/Province (US/Canada):
Country:

2.	Why are you interested in participating in this project?
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3.	How did you become interested in Harriet Tubman?
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