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all about you

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*Required Information

*first name:
*last name:
nickname:
*student id number:
email address:
which chemistry class are you enrolled in?	organic   qualitative   quantitative
which textbook are you using?	Fundamentals of Organic Chemistry Introductory Chemistry: A Foundation Modern Chemistry
*what is your book number?
what condition is your book in?	new   excellent   good   fair   poor
list all of the problems in your book:
*Choose a password to check your grades online:
*Verify your password:
*street address:
*city:
state:	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY Puerto Rico
*postal code:	-
*home telephone number:	(717)  -
birthdate:	1 2 3 4 5 6 7 8 9 10 11 12 / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
What is your favorite subject in school?
Fine Arts  Foreign Language  Language Arts  Mathematics	Physical Education  Science  Social Studies  Other
*tell me more about yourself:
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