Thank you for visiting the shopper registration site of Customeyes Research.

Please fill in the form below,press Send and your details will be added to our Shopper database.

You will then be sent a user name and password.

We allocate assignments based upon the general information that you have supplied. We may request extra information,eg,leisure pursuits,shopping locations etc,to then best fit assignment profiles.

You can at any time request that you be removed from our database and we will comply immediately. We do not supply your details to any other companies and we adhere to Data Protection guidelines.

First Name    *
Last Name    *
Email    *
Phone    *
Mobile    *
Address    *
Town    *
County    *
Post Code    *
Age    *
Gender   Male   Female    *
Marital Status    *
Children     Yes      No     *