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Get the Lead Out! Study Sign Up
Please fill out the form/Por favor complete el formulario.
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Email
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Your email
First and Last Name/Nombre y apellido
*
Your answer
Are you interested in completing our survey and getting your soil tested for lead? / ¿Está interesado en completar nuestra encuesta y analizar su suelo para detectar plomo?
Yes/Sí
No
I would like to learn more about this study/Me gustaría saber más sobre este estudio.
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Phone Number/Número de teléfono
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Email/Correo electrónico
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Best time to contact you?/¿El mejor momento para contactarlo?
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Address/Dirreción
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