Capeesh! Mystery Shopping

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dd/mm/yyyy

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You may feel more comfortable supplying your banking details once you receive your first assignment..

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Home Suburb:

Home Postcode:

Home Phone:

ie 0-123 4567

Mobile Phone:

Fax:

ie 0-123 4567

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Work Phone:

ie 0-123 4567

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Answer the following questions:
Have you done mystery shopping before?	Yes No
Do you work for any other market research companies?	Yes No
If you work for other market research companies, which do you work for?
Are you interested in doing other kinds of market research work such as telephone, door to door or central location?	Yes No
Do you know anyone who works in any of the large fast food restaurant chains?	Yes No
Do you speak any language other than English?	Yes No
If you speak other languages, which?
Do you own a car?	Yes No
What type of car do you own?
What year was your car registered?
What industry do you work in?
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I wish to participate in addition market research surveys and I am happy to receive survey instructions by email. If I complete surveys I have the opportunity of winning cash prizes. If you stay ticked you will go into the monthly draw to win an iPod Nano! If you do not wish to participate please untick this box Stay ticked to win!