National Data Research is looking to invite men and women between the ages of 21 and 65 to participate in a study on Household Products.

This study would take place at our Skokie facility in the evening of Wednesday, July 27th or Thursday, July 28th. Those that qualify and participate will be compensated with a $75 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. Which of the following age groups do you fall into?

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* 5. May I please ask your age?

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* 6. Gender

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