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* 1. What is your first and last name?

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* 2. What is the best phone number to reach you?

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* 3. Cloverdale Ace Hardware is my neighborhood place for ________________.

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* 4. Please enter your email address below. 

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* 5. Would you like to be added to Cloverdale Ace Hardware's newsletter subscriber list in order to be notified of upcoming events and sales?

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* 6. Would you like to be added to Triad Mom on Main's newsletter list?

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