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WIRELESS SERVICE SUBSCRIBER

    WIRELESS/CELL PHONE

  • Amount of Monthly Bill
  • Brand of Wireless/Cell Carrier
  • Ways Use Cell Phone
  • — Email
  • — Games (Play or Download)
  • — Instant Messaging
  • — Maps/GPS Navigation
  • — Music (Listen or Download)
  • — News/Weather/Traffic
  • — Other Internet Features
  • — Search (Google, Yahoo!, etc.)
  • — Sports Scores/Updates
  • — Stocks/Stock Market
  • — Subscribe to TV for a Fee
  • — Text Messaging
  • — Watch Free TV Programs
  • — Watch Video Clips
  • Payment Plan
  • — Prepaid Usage
  • — Receive Bill Each Month
  • Plan to Purchase*
  • Plan to Switch Carrier

    TELEPHONE*

  • International Areas Called for Personal Reasons Past 30 Days
  • Long Distance Carrier
  • Phone Bill Amount Last Month
  • — Local
  • — Long Distance
  • Prepaid Phone Card Use
  • — Past 12 Months

* Household Measurements