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* 1. Name

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* 2. Email Address

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* 3. City, State

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* 4. Are you over the age of 65?

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* 5. Years of Investment Experience

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* 6. If you get advice from a financial professional, please identify the type of professional. Select all that apply.

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* 7. What is your financial professional's title?

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* 8. Types of Account. Select all that apply.

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* 9. Type of Investments

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