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* 1. What is your age?

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* 2. Where are you located?

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* 3. Where do you reside?

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* 4. Relationship status

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* 5. Can you tell us your household income?

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* 6. How do you tend receive new information and view advertising?

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* 7. Please submit your email address below to be entered into prize draw with a chance to win a DS TECHEETAH team T-shirt!

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