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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your street address?

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* 4. In what city do you live?

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* 5. What is your zip code?

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* 6. What is your phone number?

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* 7. What is your email?

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* 8. How did you hear about this class?

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