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First Name*	Last Name*
Email*	Phone Number
CITY OF INTEREST^*	State^*	Zip Code^*
Why are you interested in owning a takorean?^*	Do you have at least $200,000 in cash?YESNO

First Name*	Last Name*
Email*	Phone Number
CITY OF INTEREST^*	State^*	Zip Code^*
WHY ARE YOU INTERESTED IN OWNING A WINGS AND RINGS? ^*
Do you have at least $200,000 in cash?YesNo