Progressive Party Questionnaire, ca. August 1912

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Chicago, Sept.     1912

Will you please fill out the attached card as quickly as possible.

Sincerely,

MARGARET DREIER ROBINS
Member State Executive Committee
Progressive Headquarters
Hotel La Salle [page 2]

Name __________

Address __________

Congressional District __________  County __________

Town __________ Ward __________

Are you interested in equal suffrage? _____  Prohibition of child labor? _____

Eight hour day? _____  Minimum wage? _____  Will you help the Progressive Party bring about these reforms? _____

Will you serve as

Distributor of literature? _____  Writer? _____

Organizer? _____ Speaker? _____

What suggestions have you to make? __________

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