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* 1. What is your name and email address?

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* 2. Are you planning to participate in NBT's Biggest Loser Competition?

Dates: April 7 - June 30, 2014
Buy in: $5/week; 12-week commitment
Prizes: 1st place winner gets 75% of the prize money
2nd place gets 15% of the prize money
3rd place gets 10% of the prize money

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