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Household: (circle one) $10,000 to $18,000 $18,000 to $30,000 $30,000 to $50,000 over $50,000 Ethnic/Racial Background: (Please Check ONE) PLEASE CHECK RACIAL CATEGORY White Black/African American Asian American Indian/Alaskan Native Hawaiian/Pacific Islander American Indian/Alaskan Native/White Asian and White Black/African American and White American Indian/Alaskan Native/Black African American Other Multiple Races Non-Hispanic Hispanic Media Release I, , th.

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