Get Ready to Voice Your Opinion!

Every time you participate in a survey, you are entered into a draw for a prize of $250 cash.  You will receive an additional entry for each person that you refer to register in the panel.

You must live in Canada to participate and you can only register once.  All information you provide will remain confidential and is solely used by Banister Research & Consulting for research purposes and prize assignment.

Fields marked with * are mandatory.

*First Name:
*Last Name:
*Gender:
*Date of Birth:
*Email address:
*City:
*Province:
Postal Code:  
*Telephone: ( )
(area code + number)
Referred by:
(First Name, Last Name)
I agree that the information provided in this form is truthful and refers to me.  I confirm that I have created only one Banister Research Panel Account.  I agree that my information may be used for research purposes and opportunities, and that I may receive e-mails regarding these opportunities.
 
Please contact me about future opportunities, including surveys, in-depth interviews and focus groups (cash and gift honorariums may be paid to participants).