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Join the Panel

Registration is free and should only take a few minutes. The information you provide is important as it will help us determine your eligibility for a research project.

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All fields marked with a * are required

Contact Details

Name*

First

Last

Email*

Spam safe Only ever used to contact you about groups Receive email on groups and updates?

Alternative email

Spam safe (optional)

Phone*

Main

Other (optional)

Mobile

Main (optional)

Other (optional)

Birthday*

Gender*

Street

Suburb*

City*

General Information

Referrer

Spam safe If you were referred to us by another member,
please enter their email address

Birth Place*

NZ resident*

Have you been a resident of NZ for more than 5 years?

Industry*

Occupation Title

(optional)

Working*

Self Employed*

Number of Computers*

Accommodation Type*

Pets

Dog

Cat

Main Shopper*

Do you do most of the shopping for your household?

Household Income*

Partner

Partner*

Do you have a partner?

Birthday*

Industry*

Occupation

Self Employed?*

Ethnicity*

Children

How many children do you have at home??

Children Details