Please complete the very short survey below to be entered into our contest to win a $200 gift certificate from Waiter on the Way. Must be 18 to enter.

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* 1. Please provide us with the following information so we can notify you if you are the contest winner.

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* 2. Do you have children under the age of 18 living in your home?

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* 3. Please tell us your age range:

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