| Current Work Status                                                                * | 
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				| Employment Type (if applicable) | 
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				| Occupation - Type | 
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				| Occupation - Industry | 
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				| Personal annual income                                                                * | 
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				| Household annual income                                                                * | 
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				| Main Bank | 
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				| Housing Status                                                                * | 
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				| Marital Status                                                                * |  | 
						
                         
				| Work Postcode |  | 
						
                         
				| How did you hear about us?                                                                * | 
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                                                                    If a friend referred you to our website for registration, please insert their name here (they could win a prize for your referral)                                                                     |  | 
						
                         
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                                                                    Do you complete over 60% of the grocery buying for your household?                                                                    * |  | 
						
                         
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                                                                    How often would you visit A KFC, McDonalds, Red Rooster, or Subway outlet and purchase something for yourself?                                                                     |  | 
			 
			
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				|  |   * = Mandatory Fields
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