People 4 U


First Name:
Surame:
FULL Address:
Postcode:
Tel:
Mobile:
Email:
Confirm Email:
Personal Information
Date of Birth:
Marital Status:						Single
						Living with Partner
						Married
						Divorced / Widowed
Number of Children in Household:
Your Occupation
Job Title:
Industry:
Place of Work*
*please note we will not contact your place of work without prior permission from you
Partners Occupation
Job Title:
Industry:
Other Information about you and your family
Cars
Do you own a car? Yes No
Vehicle Brand:
Vehicle Model:

Do you own a second car? Yes No
Vehicle Brand:
Vehicle Model:

Mobile Phone
Make:
Model:
Tariff:
How Did You Hear About Us:
Terms and Conditions Please read the following carefully Upon agreeing to take part in a focus group or interview I will make every effort to attend and shall arrive 15 minutes early. I understand the client reserves the right to refuse my participation without payment if I am late I will notify People4u immediately should I be unable to attend a focus group or interview I will respect People4u’s client wishes regarding confidentiality of any new products, services or advertising I will observe requests from People4u clients with regard to the product, service or advertising being discussed I agree to be audio taped and video recorded for research purposes I accept that People4u can withdraw my registration should I breech any of the above