Progressive Party Questionnaire, ca. August 1912

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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