Thank you for exercising your power of influence! To join our winning team of Insiders, click NEXT and complete a quick 5 minute survey so we can learn about you & your interests. This will allow us to provide future surveys that align best with your lifestyle. Please take a moment to fill out the following:

*Remember, we will not, under any circumstances, sell, rent, or distribute your personal information for any purpose.

Note: Items listed with ** are required.

First name**:
Last name**:
Primary email address**:
(where you would like to receive survey invitations)
Confirm email address**:
Residential street address (not P.O. box):
Zip/postal code**:

Expressed Consent and Member Agreement

1. I understand that, as a member of the Active Lifestyle Panel, I am expected to provide true and accurate information, carefully reading and considering all survey questions before answering. I understand that I must keep all information and concepts within surveys confidential, and I will not attempt to copy, print, or download any part of any survey.

Participation and data are validated in a number of ways, and members who provide false or misleading information, attempt to take surveys multiple times, register multiple accounts, or otherwise violate the good faith spirit of membership will be removed from the panel.

I authorize the Active Lifestyle Panel to send email invitations to surveys using the above email address. I understand that at any time I may opt out of this agreement by following the instructions that will be included in all survey invitations.
I agree
I disagree

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