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* 1. Full Name

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* 2. Are you a current customer

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* 3. What is your Cycle Gear home store?

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* 4. What type of gear are you looking to buy?

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* 5. If applicable, shoe size?

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* 6. Shirt/jacket size?

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* 7. Waist/pant size?

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* 8. Helmet size?

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* 9. What phone number and email address can we use to verify your appointment?

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* 10. Gender

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* 11. What type of riding do you do?

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* 12. Are you interested in a particular brand? 

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