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Name Goes Here

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Birthday: 

House:

Favorite Sports Team:

Hobbies:

Favorite snack:

Favorite fruit: 

Favorite candy: 

Favorite soft drink: 

Favorite cookie or dessert: 

Coffee or tea:

Favorite dine-in restaurant: 

Favorite take-out restaurant: 

Favorite ice cream:

Favorite color: 

Food allergies or sensitivities: None

Office: (702)799-1360 / Fax: (702)799-1370
Address: 8951 West Ford Avenue Las Vegas, NV 89148

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