National Data Research is looking to invite men and women between the ages of 18 and 55 to participate in a study on Beverages

This study would take place at our Downtown Chicago facility on Wednesday, September 7th. The study would run for approximately 75 minutes and you will be compensated with a $125 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. Into 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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