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1. Contact Information

So you think you can solve the mystery of the world's ugliest gel? Let's find out.

Please answer the questions and enter your contact information below. Your responses will be reviewed and posted on the blog. You definitely will receive style points for creative responses. You will be contacted shortly to receive your sample TGX Gels:

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* 1. What was so ugly about the gel you saw?

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* 2. How did the gel get to be so ugly?

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* 3. How can such ugliness be prevented in the future?

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* 4. First Name

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* 5. Last Name

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* 6. Institution

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* 7. Department

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* 8. Building and Room Number

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* 9. Address

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* 10. City

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* 11. State

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* 12. Zip Code

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* 13. Phone:

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* 14. Fax:

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* 15. E-mail:

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* 16. Would you like someone to contact you about receiving a sample TGX gel?

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