National Data Research is looking to invite men who are between the ages of 25-45 to participate in a study on Alcoholic Beverages.  

This study would take at out downtown Chicago facility on Monday, June 6th or Tuesday, June 7th. Those that qualify and participate would be compensated with a $135 VISA gift card.

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* 1. First Name

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* 2. Last Name

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* 3. Contact Information

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* 4. Which of the following age groups do you fall into?

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* 5. What is your exact age?

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* 6. Gender

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