need someone to fill in a form 100 times

asoduk

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Simple Form: First, Last, e-mail, radio button to answer a question, captcha.
I will provide the names and e-mails, just need you to fill them in and answer the captcha.
Would prefer someone in the US, or can provide remote access to a machine to use here in the US.
It shouldn't take you too long to do. $10 anyone?
 
Thanks for all of the replies! If I need more done, I will let you all know in the order that they came in!
 
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