Names
*
First Name
Last Name
Email
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example@example.com
Phone Number
*
phoneNum
Birthday
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Month
-
Day
Year
Date
Favorite Location
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02-Corona Original
06-West End
08-Norco
11-South Corona
14-Grand Terrace
15-Fontana
17-Ontario
18-Murrieta
19-Menifee
20-Costa Mesa
21-Moreno Valley
22-Orange
23-Tustin
24-Woodcrest
25-Huntington Beach
26-Redlands
27-Norco Village
28-Rialto
29-Eastvale
30-Lake Elsinore
31-Santa Ana
32-Upland
52-Dos Lagos
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