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Last Name:
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Mobile:
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xxx-xxx-xxxx
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Security Question:
City you were born
City you were born
Favorite Color
Favorite Color
Favorite Ice Cream
Favorite Ice Cream
Mother's Maiden Name
Mother's Maiden Name
1st Pet's Name
1st Pet's Name
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Security Answer:
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USTA Rating:
0.0
0.0
2.5
2.5
3.0
3.0
3.5
3.5
4.0
4.0
4.5
4.5
5.0
5.0
5.5
5.5
6.0
6.0
Gender:
Male
Male
Female
Female
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