* 1. What is your name? (First and Last)

* 2. What is your email address?

* 3. What is your Mailing Address?

* 4. What is your T-Shirt Size?

* 5. What is your channel link? (Type N/A if none)

* 6. What is your blog link? (Type N/A if none)

* 7. How many current viewers/subscribers do you have?

* 8. What is your Channel/ Blog about and how is it related to Anime Bento?

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