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4. Name
5. Email Address
7. Address
9. City
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11. Zip Code
13. Phone Number
14. Date / Time of Submittal
    Date / Time of Submittal

    Date / Time of Submittal
18. How did you become awesome?

    Choose One

    1. Born this way..
    2. Acquired through blood sweat & tears...
    3. Acquired by osmosis.... (being in the presence of awesome and i absorbed it)
    4. I 'm not awesome i am basic....
19. Whats your favorite food?
    -- Select One --Pizza BurgersSteakCheesecake
21. Which Sex and the City character do you love most?

    Choose one

    1. Samantha
    2. Carrie
    3. Miranda
    4. Charlotte
22. Why do you like the SATC character you chose?
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