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Welcome to ConfirmedConsent.com!

We proudly present the site that values YOUR opinions an enhances your internet experience. From groundbreaking information to the hottest new products, we bring you the web's most exclusive online opportunities and info!

Our network bridges the gap between businesses and customers - so you get the very best sent directly to you. And by joining, you help us help you have a more personalized experience online!

But here's the real news:
WE'LL PAY YOU to join! To prove how valuable you are to us, we'll give you a VISA(tm) Gift Card absolutely free. Our registration form will help us identify your interests so we can automatically show only the offers you prefer! Once you sign up, you'll receive a confirmation email right away. Just click on the "confirm" link within 48 hours and you'll receive your reward.

Whether you're a parent looking for the best quality products for your children, or a technology guru waiting for the latest electronics - we have something for everyone! The best part is this: these offers are not found anywhere else except here. Media Network's marketing muscle lets us team with cutting edge suppliers to bring you exclusive, insider deals most "regular" people will never see, at savings you'll have to see to believe!

Only 100,000 sharp surfers will have the opportunity to belong to Confirmed Consent, so act now!

When you join this exclusive club, we'll pay you - but that's not all. We'll also guarantee that your valuable personal information stays only with us. You become a member of a very exclusive group of savvy consumers, and we'll treat you like the important decision maker you are. That means you'll NEVER see offers from "partners" or "affiliates." No marketing mumbo-jumbo. No nonsense. Just premium offers, big savings, and exclusive access to the hottest new products and services.

Our entry form will take a few minutes of your time, but spending those few minutes will pay huge dividends. First, of course, you'll get a free Visa(tm) Gift Card as our "thank you" and welcome gift. But as time goes by, you'll thank yourself every day for spending those few minutes.

So please don't waste your time with dozens of ads and solicitations that may or may not be up your alley - join today, and tailor the internet to you!


Personal information


First name

Last name
Middle name
Email
Confirm email
Home Phone
Cell Phone

Home address

Address
City
State
ZIP

Mailing address

Copy info from home address
Address
City
State
ZIP
Date of Birth    
Gender
Male
Female

Ethnicity
Caucasian
African American
American Indian or Alaska Native
Asian/Pacific Islander
Other
Decline to answer

Language spoken at home
Other:

Size of family?
How many children do you have?
Age of children
0-5
6-12
13-17
18+

Education
High school

Did you graduate?
# of years attended







College
Did you graduate?
# of years attended
Area of study
Degree received









Additional Education
Type of study
# of years attended
Certifications (please specify)








 

Professional/Financial and Service Information

Profession?
How long?
Do you have a bank account?
Savings
Checking

Do you bank online?
Yes
No

Do you pay your bills online?
Yes
No

Do you have credit cards?
Visa
Mastercards
American Express
Discover
Other (please specify) :

Do you use credit cards and/or online checks on the internet?
Yes
No

Are you interested in learning how you can save money with your finances?
Yes
No

Household income
Do you Own a home? Rent?

If homeowner, do you have a mortgage?


Yes, its current
No, its paid off
I have payment issues
No








Own a car?
Domestic
Imported
Own any other property? (For example: Boat, Recreational vehicle, etc.)
Please specify:

Consumer Questionaire

Are you interested in receiving promotional information related to the areas of your interest?
Yes
No

Are you interested in comparing/reviewing new or existing services?
Yes
No

How often are you on the internet?
Seldom
Occasionally
Frequently
Always

What type of internet connection do you have?
Local
Cable
Other (please specify) :

What kind of computer do you have?
Desktop
Laptop

What brand of computer do you own?
Do your children use computers?
Yes
No

Do you utilize parental controls on your home computers?
Yes
No

Would you like to learn how to protect your children online?
Yes
No

Do you use any social networking sites? For example Facebook or Myspace?
Yes
No

What kind of phone service do you have in your home?
Landline
VOIP
Other (please specify):

What type of mobile phone service do you have?
Prepaid
Contractual
Other (please specify):

Do you use IM services?
Yes
Please check all that apply
AIM
MSN
Yahoo
Gmail








Other (please specify):

No

Do you shop online?
Yes
Please list some examples of online stores you shop at

No
Do you purchase high ticket items and valuables online?
Yes
No

Do you own an MP3 player?
Yes
What kind?

No
Do you download music online?
Yes
No


Do you own a video game console?
Yes

What type?
Sony
Microsoft
Nintendo









Other (please specify):

No
Do you rent movies online?
Yes
No

Are you interested in the latest electronics and technology news?
Yes
No

Are you interested in the latest retail products?
Yes
No

Do you eat out?
Yes
Please provide us with some of the restaurants you enjoy

No

Are you interested in promotions from restaurants and places to dine?
Yes
No

Do you purchase health products online?
Yes
No

Are you interested in receiving information regarding health products and services online?
Yes
No

Do you buy groceries online?
Yes
No

Do you drink alcoholic beverages?
Yes
No

Do you purchase/use tobacco products?
Yes
No

How did you hear about Confirmed Consent?

  

Areas of interest

Top
credit cards
debt consolidation
free stuff
internet business
internet shopping
it professionals
laptops
music
sales management
small business
system administration
webmasters
Business and Tech
advertising
affiliate programs
business traveler
customer relationship management
data storage and warehousing
entrepreneurs
high speed internet access
human resources
insurance
internet marketing
internet security
investing and finance
local area network
marketing directors
multi-level marketing
networking
operating systems
printers
purchasing managers
sales automation
sales and marketing
software deals
software designers
software internet
website design
website hosting
Consumer
consumer electronics
contests and sweepstakes
cookbooks
free stuff
gambling and lotteries
magazines
mp3
mystery books
romance books
science fiction books
shoppers on the internet
sports and recreation
toys and games
travel and leisure
video dvd
wireless communication





* In order to receive a $20 Visa Gift Card, the customer must fill out our questionnaire in completion, confirm their email address through the confirmation email sent to them from Confirmedconsent.com and complete 1 single offer during the confirmation process.

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