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* 1. Do you agree with a Crowd Funding campaign to raise money to support this Project?

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* 2. If yes, would you be interested in supporting me at the time I launch the campaign?

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* 3. I have a few rewards to offer you for showing your support in my campaign. Would you mind to choose from the list below which reward levels are you interested in?

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* 4. Would you mind to write your name, email address and telephone number below so that I can contact you at the time I launch the campaign?

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