Nationwide-Razors - August 2017

1. Intro Section

Plaza Research Chicago is conducting a Nationwide 3 day Online Bulletin Board for Females ages 18-65 years old. This Online Bulletin Board will be held in August 2017 at various times throughout the day If you qualify and participate, you will receive $50 per day for 30-60 minutes each day for your time.

If you're interested please fill out the questions below.

Due to the large response to our surveys, we are only able to contact those that look like a match. Please continue to answer future studies, as you may be a match to those.

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1. Please provide us with the following information. We will be contacting you by telephone if you seem like a match. (Required.)

Name:

ZIP:

Email Address:

Phone Number:

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2. Alternate Contact number

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3. What is your date of birth? (Required.)

Date

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4. What is your age? (Required.)

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5. Are you male or female? (Required.)

Male

Female

Question Title

* 1. Please provide us with the following information. We will be contacting you by telephone if you seem like a match. (Required.)

Question Title

* 2. Alternate Contact number

Question Title

* 3. What is your date of birth? (Required.)

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* 4. What is your age? (Required.)

Question Title

* 5. Are you male or female? (Required.)

1. Please provide us with the following information. We will be contacting you by telephone if you seem like a match. (Required.)

2. Alternate Contact number

3. What is your date of birth? (Required.)

4. What is your age? (Required.)

5. Are you male or female? (Required.)