Thank you for your interest in registering with Voter Consumer Research as a potential focus group participant.  Please fill out the information below. 

Be assured that your information is confidential and is not shared with any outside group or organization. 

Please note that we will be asking you about your home computers, both desktop and notebook / laptop.  Once you begin filling out this form, you cannot save it and return later.  Therefore, you may wish to research your home computers beforehand.  Specifically, we ask for brand, model and approximate age of up to two desktop and / or two notebook computers. 

Gender *
Race / Ethnicity *
Powered byFormsite