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* 1. What is your first and last name?

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* 2. At what email address would you like to be contacted?

*Your $20 amazon e-gift card will be emailed to this address. If you do not have an email address, we will send you a gift card to your physical address we have on file

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* 3. Are you a professional hairdresser?

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* 4. How many times have you used the free product(s) sent to you to color your own or someone else's hair?

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