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* 1. First and Last Name

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* 2. How do we contact you? (We will be using text for most of our communication).

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* 3. We will use texting as a primary way to communicate with you. This includes sending you your monthly survey and participation confirmation. Will this work for you?

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* 4. When is your birthday?

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* 5. If another CLB Delivered customer recommended you drop their name below! They get a $5 credit towards their next box! And you will too when you have your girlfriends sign up!

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* 6. What size tops do you wear if the item is running true to size?

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* 7. What size dress do you wear if the item is running true to size?

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* 8. What size Jeans/Denim do you wear if the item is running true to size?

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* 9. What size shoe do you wear if the item fits true to size?

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* 10. What areas of difficulty do you deal with when purchasing clothing? (i.e. Broad shoulders? Your height? Bust? Hips? Ect) When we send you sizes based on your survey, we take into account if an item is running large or small and where it is running large or small.

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* 11. How do you feel about floral?

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* 12. Do you have any color preferences? Check all that apply.

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* 13. Do you like sweaters?

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* 14. Do you like high waisted denim/pants?

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* 15. Do you like the cropped and shorter shirts with the high waisted bottoms?

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* 16. Will you wear spaghetti strap tops?

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* 17. Do you prefer prints or solids?

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* 18. Which do you prefer? Check all that apply.

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* 19. Which shoe height do you prefer?

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* 20. Which do you prefer?

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* 21. Will you wear off shoulder tops and dresses?

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* 22. Do you prefer trendy pieces or classic?

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* 23. If you work outside of the home, would you like pieces that you can transition into your work place?

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* 24. Do you like stripes?

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* 25. Jackets or Cardigans?

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* 26. Do you prefer your tops fitted or flowy?

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* 27. Is there a particular style or item you'd prefer we never send you? Leave blank if you have no preference.

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* 28. What are you most looking forward to in your CLB Delivered subscription box?

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* 29. Which box are you receiving every month? Whichever box you select will be the amount we charge to the card you provide for us to keep on file.

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* 30. We will keep your credit card on file for your purchases and refunds. Your information will be stored securely and will only be used for CLB Delivered purchases. Is this ok?

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* 31. Name as it appears on your card
Card Number
Expiration Date
CVV Code

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