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Survey Properties
Owner: sbazzi
Disclaimer is not responsible for the privacy of responses submitted to survey questions. The owner of the survey is entirely responsible for maintaining the privacy of the information collected. does collect the IP address of responders and this information is provided to the owner of the survey.
member registration form
* Required

  1. Your full name *

  2. Select your college. If not listed, select "Other" and provide the name. *

  3. Preferred mailing address (street address) *

  4. preferred mailing address (city, state, and zipcode) *

  5. Your preferred contact phone number

  6. Your email address *

  7. Any special comments. Proceed to the payment link after submitting the survey.

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