Labs/Test Pilot/userstudyreleaseform: Difference between revisions

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Information That Can Be Published:
Information That Can Be Published:
*My first name Andrew
*My first name: _______
*I prefer you use an alias. Use akale (or we’ll assign one)
*I prefer you use an alias: _______ (or we’ll assign one)
*Age 28
*Age:
*Occupation Customer Service Manager, Walmart Stores
*Occupation:
*City Ravenna
*City:


I confirm that I have read and understand this Release.
I confirm that I have read and understand this Release.
*Print Name: Andrew W. Kale
*Print Name:___________
*Address: 6615 Cleveland Rd Lot A4 Ravenna, OH 44266
*Address: _____________
*Email: akale26@gmail.com
*Email: _______________
*Today’s Date: 11, April 2011
*Today’s Date: ________


*Signature: AKale
*Signature: _____________


Mozilla, Castro Street, Suite 300, Mountain View, CA 94043.
Mozilla, Castro Street, Suite 300, Mountain View, CA 94043.
Tel: 650 903 0800
Tel: 650 903 0800
www.mozilla.com
www.mozilla.com
Confirmed users
497

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