FREE Fresh Air Machine ($150.00 Value) Helps with Allergies, Asthma, Breathing Problems.

Sponsored by New Promise, Inc 479-646-8118
No Purchase Necessary.
Arkansas / Oklahoma / Texas / Louisiana residents only.

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* 1. Since living in the area do you believe the air has gotten

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* 2. Does anyone in your family suffer from: Asthma, Allergies, or Breathing Issues

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* 3. Do you have Children / Pets?

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* 4. Are you married or have a live in partner?

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* 5. What do you do for work?

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* 6. What does your spouse do for work?

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* 7. Age Group

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* 8. Do you Own or Rent?

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* 9. Contact Information (We will Contact you by phone)

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* 10. Who sent you? (First and Last Name) or (Doesn't Apply)

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