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* 1. Name

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* 2. Dispensary + Street Name 

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* 3. Shirt Size

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* 4. What makes PUREVIBE different from all other vape pens?

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* 5. What do we use for flavoring?

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* 6. What are the five standard flavors?

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* 7. Our oil is a minimum of what percentage THC?

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* 8. Pick two favorites so we can send you sporadic gifts!

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* 9. Mailing Address - So we can spoil you with goodies!

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