Quinta de Gloria   
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Name:
City: State:   Phone:
E-mail: Skype or MSN:
You prefer ?
buy in store buy online buy from a consultant buy on sale
Where do you buy skirts from ?
How much do you normaly pend when buy skirts ?
Between $0 a 30.00 Between   $30.00 a 75.00 Between   $75.00 a 110.00   Above   $110.00
How do you pay ?
Cash with Descont Direct debit card Credit card Pay pal or others
Your age ?
Between   15 to 25 years Between   25 to 36 years Between   36 to 47 years Above   47 years
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