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* 1. First and Last Name

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* 2. Email address

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* 3. What is your gender?

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* 4. When is your birthday?

Date

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* 5. What categories are you interested in?

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* 6. What other product categories would you like to see (e.g. - scarves, sneakers, home decor)?

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* 7. What brands are you most interested in?

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* 8. What price range are you looking to shop in?

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* 9. What kind of watches do you like?

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* 10. Do you have an upcoming anniversary?

Date

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* 11. Who do you shop online for?

T