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* 1. Will you be attending the 53rd Belt Promotional Exam?

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* 2. If you will not be attending this event, please explain why.

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* 3. How did you hear about this event?

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* 4. How would you most like to receive additional information regarding this event?

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* 5. What is your email address?

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* 6. Do you have an account on a social networking website (like Facebook or Myspace)?

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* 7. What changes would most improve the belt exam?

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* 8. Which days (Friday or Saturday) and what time do you prefer the event to be held?

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