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Name:
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Comment:
First Name
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Last Name
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Email Address
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Cell
Birthday
Month
/
Day
How long have you been a Pelican customer?
Over 10 years
About 5 years
About 2-3 years
Less than a year
Less than a month
How often do you wash your car?
More than once per week
Once per week
Once per month
Once per 2 month
How likely are you to visit us again?
Definitely will
Probably will
Probably will not
Are you a member of our Customer Loyalty Club?
Yes
No
