1) Do you own a Hard Rock $25 Cure chip?

YES

2) Did you get yours at face value?

NO

3) Did you get yours from a HR Employee?

YES

4) If you paid more than face for the chip, and you
did not get it from a HR Employee, please enter the name
of the person who you got it from.

5) How much did you pay for the chip? (optional)

$150