| 1.
Name of group:
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|
2. Type of Group (Association, Club, Union, Mass Marketer,
Direct Sales Org., Telemarketer, Fund-raiser, etc.):
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| 3.
Demographics of Group:
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| 4.
Size of Group:
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| 5.
Marketing/Distibution Plan (Automatic Benefits - Given Free; Sold
and Will be Packaged; or Sold Alone):
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6. Marketing
Methods (Simple Distibution, Direct Mail, Direct Sales, Space Ads,
etc.):
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| 7.
Usage Expected (Very Low, Low, Moderate, High, Very High):
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| 8.
Initial Quantity:
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| 9.
Projected Volume Over One Year:
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