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* 1. What is your name?

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* 2. What is your email address?

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* 3. What is your blog name?

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* 4. What is your blog address?

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* 5. What do you blog about?

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* 6. Are you interested in 5 weeks of candy bar wrappers emailed to you?

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* 7. Would you give me your honest feedback of the club at the end of the trial period?

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* 8. Would you consider spreading the word about the club via blog post, social media post, or other?

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* 9. Would you be interested in an affiliate program for the membership club?

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* 10. Any comments?

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