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date
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Your First and Last Name
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Your answer
Are you 18 years old?
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No
Are prepared to offer a member of a HOA or Community Association a discount on your goods or services?
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No
What's your company name?
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Your answer
Telephone Number
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Your answer
EMail Address
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Your answer
What industry does your business represent?
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What discounts do you want to offer to the HOA members?
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Your answer
Do you give us permission to contact you by phone or email
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