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| FIRST
NAME: |
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| LAST
NAME: |
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| EMAIL
ADDRESS: |
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| PREFERRED
PHONE: |
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| HOME
ADDRESS: |
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| CITY: |
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| STATE: |
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| ZIP: |
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| BIRTHDATE
[MMDDYYYY]: |
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| GENDER: |
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MALE
FEMALE
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| MARITAL
STATUS: |
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| HOW
DID YOU HEAR ABOUT US?: |
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| OCCUPATION: |
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| INCOME
RANGE: |
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| LEVEL
OF EDUCATION: |
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| UNDERGRAD
SCHOOL: |
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| DEGREE: |
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| GRAD
SCHOOL: |
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| DEGREE: |
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| HOW
MANY SPORTING EVENTS TO YOU ATTEND A YEAR?: |
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| HOW
MANY CONCERTS TO YOU ATTEND A YEAR?: |
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| DO
YOU BELONG TO A HEALTH CLUB?: |
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YES
NO
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| NAME
OF HEALTH CLUB: |
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| DO
YOU HAVE A HOME GYM?: |
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YES
NO
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| DO
YOU EXERCISE?: |
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| HOME
MANY TIMES DO YOU VACATION A YEAR:? |
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| PLACES
TRAVELED TO THIS YEAR? |
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| WHERE
WOULD YOU LIKE TO GO?: |
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| HAVE
YOU EVER TAKEN A CRUISE?: |
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YES
NO
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| ARE
YOU ENROLLED IN A FREQUENT TRAVEL PROGRAM?: |
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YES
NO
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| WHAT
AIRLINE DO YOU FLY THE MOST:? |
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| DO
YOU OWN OR LEASE YOUR VEHICLE?: |
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OWN
LEASE
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| DO
YOU OWN OR RENT YOUR HOME?: |
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OWN
RENT
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| DO
YOU HAVE AN INVESTMENT PORTFOLIO?: |
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YES
NO
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| DO
YOU GROCERY SHOP?: |
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| DO
YOU USE DRY CLEANERS?: |
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| DO
YOU HAVE CASUAL DRESS AT YOUR WORKPLACE?: |
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| HOW
OFTEN DO YOU GO TO THE MOVIES?: |
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| HOW
OFTEN DO YOU RENT MOVIES?: |
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| DO
YOU OWN A SATELLITE DISH?: |
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YES
NO
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| DO
YOU HAVE A DVD PLAYER?: |
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YES
NO
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| DO
YOU OWN A HOME COMPUTER?: |
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YES
NO
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| CD
ROM?: |
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YES
NO
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| SPEAKERS?: |
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YES
NO
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| CD
BURNER?: |
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YES
NO
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| DO
YOU USE A CELL PHONE?: |
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| NUMBER
OF MINUTES IN YOUR PLAN?: |
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| HOW
MANY MAGAZINES DO YOU PURCHASE ANNUALLY?: |
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| WHAT
MAGAZINES WITH ANNUAL SUBSCRIPTIONS DO YOU HAVE
MAILED TO YOUR WORK OR HOME?: |
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| WHAT
SPORTS ARE YOU INVOLVED IN WITH THE SPSC?: |
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| WHAT
ADDITIONAL SPORTS ARE YOU INVOLVED WITH?: |
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| WHAT
SPECIFIC SOCIAL ORGANIZATIONS OR CAUSES ARE
IMPORTANT TO YOU?: |
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| WOULD
YOU LIKE TO GET INVOLVED IN VOLUNTEER WORK?: |
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| WHAT
EVENTS WOULD YOU LIKE TO SEE SPSC PROVIDE IN
THE FUTURE?: |
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| IF
YOUR INTEREST WAS NOT LISTED, PLEASE LIST YOUR
IDEAS: |
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