National Data Research is looking for men and women NATIONWIDE between the ages 16 and 54 to participate in a study on Technology.

The study would take place online Monday, March 27th thru Friday, March 31st. It would require you to login twice each day for about 15 minute each day and would require you to make a trip to a retailer once during that week. Those that qualify and participate will be paid $165 in the form of a VISA gift card which will be mailed to you.

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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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