Sample of the Month Club RSVP
In exchange for a FREE Sample, You will respond to our survey by the 20th of the Month; that you received the sample
Name
Adress
City, State and Zipcode
Are you married?
What size clothing do you wear?
Do you have children?
If yes, do you have
Will you fill out the survey by the 20th of the next month?
Would you like to join our Birthday Club?
Submit
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