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1. First Name:
2. Last Name:
3. Yearly Salary: Please select a yearly salary <$12,000 $12,000 - $35,000 $35,001 - $60,000 $60,001 - $90,000 >$90,000
4. Select the state you live in Wisconsin Texas California
5. Choose 4 superpowers Flight X-ray Vision Super Strength Super Speed Telekinesis Invisiblity
6. Comments: