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| Thank you for your interest in taking our surveys. Please help us make your experience better by answering a few profiling questions. |
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| * Which state/territory do you live in? |
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| * Would you like to enter your details into the prize draw to win an iPad3 with Wi-Fi +4G 16GB to the value of $679, and an iPhone 4S 16GB to the value of $799 (total prize pack value is $1,478); OR a MacBook Pro 13-inch: 2.5 GHz valued at $1,349. There will also be 50 runner up prizes of a $50 gift card to spend at yourchoice of Coles Group & Myer, Bunnings Warehouse, JB Hi-Fi, Westfield or Rebel Sport? |
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| If you would like to go into the prize draw, please complete the details below.
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| Friend # 1 Full name | | | | Friend # 1 Email address | | | | Friend # 2 Full name | | | | Friend # 2 Email address | | | | Friend # 3 Full name | | | | Friend # 3 Email address | | |
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