National Data Research is looking to invite men and women between the ages of 25 and 39 to participate in a study on Alcohol

This study would take place at our Skokie facility in the evening of Wednesday, July 20th. Those that qualify and participate will be compensated with a $150 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. What is your current age?

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* 5. What is your exact age?

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* 6. Gender

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