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Nicole's Form

  1. Your Vote Counts

  2. Please choose your favorite food.

    Select all that apply.

  3. Terms & Conditions

    Mary had a little lamb, little lamb, little lamb. Mary had a little lamb who's fleece was white as snow. Everywhere that Mary went that lamb was sure to go.

  4. Agreement with above terms & conditions*

  5. Leave This Blank:

  6. This field is not part of the form submission.