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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)


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