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* 1. Please provide your full name.

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* 3. Please provide your phone number (optional).

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* 4. Which of the following Eagle Theaters do you normally attend?

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* 5. Thinking of your household members age 12 and older, how many monthly movie subscriptions would you realistically commit to? Assume the following features: One movie a month, 20 percent discount on concessions, discounted children tickets, rollover of unused credits, $100 per year (12 movie credits)

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