The People Finders register

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If you would like to take part in some market research please fill in the details requested. The more
information we have on you the more likely we are to find some research that will be of particular interest
to you. We are bound by the market research code of practice and the data protection act, therefore your
details are never passed on to anyone, so the end client will not call you to promote their services or products.

First Name
Surname
Year of Birth
Home address
Postcode
Work No
Mobile No
Home No
Email address
Sex
Ethnic Origin
Occupation
Degree	Yes No
Work postcode
Partners Occupation (if applicable)
Children’s year of birth and sex: (if applicable)
Make/model of mobile phone (ie Nokia 6500 Slide)
Mobile Network provider (ie orange, o2)
Broadband provider
TV package (ie sky, sky+, virgin media etc)
Make/model of car (if applicable)
Who do you bank with?
Disabilities (if applicable)
Do you gamble, if so who with?
Are you available for daytime research?	Yes No
Are you registered with other recruiters (if yes please name)
Any other comments?
Recommend a friend:
Name
Contact number
Email address

Declaration I have the right to have my details removed from the database upon written request. I understand that the research will be audio taped, recorded or viewed at the venue. If I am unable to attend I will notify The People Finders and try to give at least 24 hours notice. I agree not to register with multiple recruitment agencies as I will be removed from everyone’s databases if I do.