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Please enter the following information:
Enter your First Name:
Enter your Last Name:
Enter the name of your City:
Enter your ZIP or postal Code:
The sport I like most is:
Soccer
Tennis
Running
Baseball
Cycling
Click ONE checkbox that applies:
I like summer
I like to ski
I am taller that 5 feet
I have a job
I like online course
What is your favorite Food?
Pizza
Hamburgers
Lasagna
Chicken
Steak
Tacos
All of the above
Please share any suggestions with us:
Comments?