National Data Research is looking to invite men and women with kids between the ages of 25-54 to participate in a focus group on Beverages.

This study would take place in near our Skokie facility on Thursday, September 15th and would last approximately 2 hours. Those that qualify and participate 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. For classification purposes, please tell me which of the following ranges best describes your age?

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* 5. What is your exact age?

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* 6. Gender

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* 7. Do you have children under the age of 18 living at home with you?

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