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register to win |
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guest registration
Welcome to Chapel Hill Mall. In an effort to make our site easy for you to navigate and to gain more information regarding personal shopping habits, please take a few minutes to fill out the form below. As an incentive, after completing this form you will be entered into a monthly drawing.
This one time registration allows you to participate in all future drawings. Duplicated entries will be deleted. Winners will be notified by email and all prizes will be picked up in the Mall Office Monday-Friday between the hours of 9am-4pm. Prizes will be held for 60 days.
By registering on this page you are giving the mall permission to publish your name and city as a winner for the monthly drawings. |
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First Name * Required |
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Last Name * Required |
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E-Mail * Required |
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Street Address * Required |
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City State/Province Zip * Required |
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Country * Required |
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Are you currently using the internet at Home Work |
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How did you find out about the Chapel Hill Mall web site?
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Will you come back to the site and check us out? |
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What did you like best about our site?
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What would you like to see added to our site?
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Gender Male Female * Required |
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Age Range * Required |
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Household Income Under $15,000
$15,000 - $24,999
$25,000 - $34,999
$35,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 - $149,999
Over $150,000 |
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Education * Required |
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Occupation * Required |
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How many people, including yourself and any children, reside in your home? |
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If you have children, what are the ages |
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For your primary residence, do you |
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Do you wish to receive e-mails regarding mall sales and special events? Yes
No |
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