National Data Research is looking to invite men and women ages 18 thru 64 to participate in a study on Technology.

This study would take place at our Skokie facility the week of December 14th and would take about an hour of your time. If you qualify and participate, you would be compensated $60 in the form of a VISA gift card.

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* 1. First Name

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* 2. Last Name

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* 3. What is your exact age?

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* 4. Contact Information

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* 5. Gender

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* 6. Which of the following age groups do you fall into?

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* 7. What is your ethnicity?

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