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Email Address
Password
Password Again
First Name
Last Name
Are you a U.S. resident?
Name of College
City State Zip  
Year in School
Cell phone number -- (We'd never share this) Duck9 CEO's cell is HERE
Cell carrier (e.g. Sprint, Verizon, Cingular, T-Mobile, or gag: AT&T)
Do you have a smart phone? (iPhone, BlackBerry, SideKick LX)
My first question is
How did you hear about Duck9
Credit Card Bank #1 (bank name i.e. Citibank Visa, CapOne MC)
Monthly Due Date: (e.g. 15th of every month)
Balance / APR (for example, "$900 / 17.9%")
Credit Card Bank #2 (i.e. Amex, Discover or NA )
Monthly Due Date: (e.g. 5th of every month)
Balance / APR (or "0 / 14.9%")
Credit Card Bank #3 (for duck's sake, not your cc #)
Monthly Due Date: (e.g. 11th of every month)
Balance / APR (hopefully, "$0 / 13.9%")

Please type the text in the text field below as it is shown in the picture on the left side.