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* 1. Please fill out the following information so we may contact you.

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* 2. What is your age?

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* 3. Which of the following best describes your current primary wireless service plan?

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* 4. How did you pay for your current wireless phone?

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* 5. Do you receive a bill each month for your service, either emailed, available online, or in the mail?

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* 6. Do you need to pay in advance to keep your service active?

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* 7. Which of the following best describes your current wireless cell phone service plan?

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