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Name
   
 
 
 
Address
   
 
 
 
Number of family members
   
 
 
 
Approx. Weekly consumption - Potato/Aloo
   
 
 
 
Approx. Weekly consumption - Onion/Pyaaz
   
 
 
 
Purchase Location
   
 
 
 
Average Purchase Price
   
 
 
 
Are you interested in Home Delivery
 
Yes
 
No
 
May Be
 
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