CARP/Voice - Focus Group Registration
YES! COUNT ME IN. I agree to be part of the CARP/VOICE online public opinion panel. My registration gives you permission to contact me and inform me of each upcoming session, date and time and subject matter. I have the right to decline to participate in any given session. I understand that each session will take the form of a Zoom call, and that my face and comments may be used in an edited video of that session, and be shared with other personnel at CARP and ZoomerMedia, as well as with external audiences such as benefit partners, marketers and advertisers, but that in no circumstances will my name and contact information be shared with any third parties.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender Identity
Female
Male
Submit
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