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Name: Address: City: State or Province: Country: Zip/Postal Code: Daytime Phone: Evening Phone: Email Address: How did you hear about Pearls for Girls? Have you purchased Pearls for Girls Jewlery before: NO YES If yes, from whom? If yes, who was your Representative?
How did you hear about Pearls for Girls?
Have you purchased Pearls for Girls Jewlery before: NO YES
If yes, from whom?
If yes, who was your Representative?