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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your work email address?

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* 4. I work at a __________.

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* 5. What is the name of the organization (school/library/company) you work at?

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* 6. What is your job title?

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* 7. I would like to recommend a __________ colleague to Beanstack.

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* 8. What is the first name of the person you are recommending Beanstack to?

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* 9. What is the last name of the person you are recommending Beanstack to?

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* 10. What is the email address of the person you are recommending Beanstack to?

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* 11. What is the organization of the person you are recommending Beanstack to (ie where do they work)?

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