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E-MAIL: FIRST NAME: LAST NAME: ADDRESS 1 (optional): ADDRESS 2 (optional): CITY (optional): STATE: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ------------- Austria France Germany Ireland Sweden United Kingdom ZIP CODE: DATE OF BIRTH: (dd/mm/yy)   1. How often have you visited a track or OTB (Off-track Betting) in the last 12 months? 0 1-4 5+ 2. Given the opportunity, would you wager on horseracing from home? Yes No 3. Have you watched horseracing on television in the last 12 months? Yes No 4. Do you currently watch TVG at home? Yes No   Yes, I'm interested in receiving future promotional offers and updates from TVG!