Free Product Testing Opportunity: Skin Care Products

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Phone number

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* 5. Country

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* 6. Do you suffer from any of the following symptoms from chafed skin?

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* 7. What kind of products do you use to treat your skin conditions?

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* 8. Under which circumstance do you most often experience chafing?

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* 9. Where do you most often experience chafed skin?

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* 10. Would you be interested in testing skin care products?

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* 11. I have updated my profile information on www.ptpa.com

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* 12. I understand that in order to qualify for this testing opportunity, my profile must be 100% complete on www.ptpa.com

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* 13. Would you like to be notified of future testing opportunities?

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