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• <br /> . •, - <br /> - - _ <br /> , . <br /> T 1:14PLO=IT • <br /> . - <br /> We, (sponsor or survey) are conducting a survey to develop <br /> information concerning aviation's economic impact upon the <br /> area. " We need help in order to draw an _ <br /> 7.;curate picture. All information will be kept confidential. ' <br /> You -y remain anonymous IS you choose - - - <br /> 1. What is the zip code of your residence? <br /> • <br /> 2. If you own'a home, circle the price that you estimate <br /> • <br /> it would bring on today's market: <br /> 1. under $20,000 4. $40,000 - 50,000 <br /> $20,000 - 30,000 . 5. over $50,000 <br /> 3.. $30,000 - 40,000 <br /> 3. If you are renting, circle the -.cunt of rent paid per <br /> month (if you share the rent, circle only the amount <br /> that you pay) : <br /> 1. under $100.00 4. $200.00 - 249.99 <br /> 2. $100.00 - 149.99 5. $250.00 - 299.99 <br /> 3. $150.00 - 199.99 6. over $300.00 <br /> 4. Now many m-bers of your fami/y are living with you? <br /> 5. What is the annual income that you receive from your <br /> aviation employment (before tames and any deductions)? <br /> 1. under $5,000 . 5. $12,500 - 14,999 <br /> .2. $5,000 - 7,499 <br /> 6. $15,000 - 19,999 <br /> 3. $7 ,500 - 9,999 7: 420,000 - 24 ,999 <br /> 14. 410,000 - 12,499 8. over $25,000 • . <br /> 6. How many automobiles do you own? <br /> Your name and wares= (if you wish) : <br /> Thank you ror your cooperntion and assistance. Please -rite any comment; <br /> on the reverue side or this form. • <br /> Plenue return thiu quectionnaire to <br />