Bryant and Benton, Arkansas Annexation Poll

Your submission will posted at http://groups.google.com/group/nobentonannex in the "Poll" topic. Your name may also be listed on other web pages and anti-annexation advertising.

If you are filling in this form on behalf of someone else, please make sure they are OK with their name being used in this way.

Name:
I am: For Annexation
Against Annexation
I am in: Bryant
Northlake - Salem annexation area
Springhill annexation area
Midland - Hilldale annexation area
Annexation area but my ballot did not include the annexation question
Other
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