pointless survey

If Other please specify: *

please specify anyway *

If Other please specify: *

or not: *

if Prefer Not To Say please specify *

please insert your pin number *

and the last 3 digits on the back of your card *

now please tell us a bit about yourself in not so many words *

state *

if Other please specify *

*None of your information will be used by any third party except wherein the information is utilised by a third party for the purpose of fraudulent or other purposes

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