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Thank you for participating in our survey of local Yuma businesses. Your feedback is important, and the survey should only take about five minutes to complete.

As a thank you for taking the survey, you will be automatically entered into a drawing to receive a $100 Visa Gift Card!

First, we need to ask you for some basic information (this will only be used internally; we will not share your individual data with any third party):

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* What is Your Age Range

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* What is your zip code? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* What is your gender?

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* At what email address would you like to be contacted? (we need this to contact you in the event that you are prize winner)  See official rules at www.kttifm.com

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* May we email you with information regarding our radio stations?

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