| |
| By
Joining the MobileClubIndia.com
global database - I "opt-in" to
receive surveys (Limited to 10
questions) via email, email adverts,
mobile SMS text messages, vouchers,
mobile Voicemail messages and
weekly newsletters from MobileClubIndia.com
as outlined in About us.
I
agree to answer the member profile
questions so that I only receive
relevant messages. I can update
my profile or cancel my MobileClubIndia.com
membership at any time. |
| MEMBER
DETAILS |
| *
Mobile / Cell Number : |
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| *
Make of Mobile / Cell Phone : |
|
| Other
Make of Mobile / Cell phone : |
|
| (We need
to know the make and model of your
phone, because different phones support
different technologies - it’s pointless
sending you a picture if your phone
does not support it - when upgrading
phones, please update this section)
|
| *
Mobile / Cell Model : |
(Remove battery for model number or
name) |
| Mobile
/ Cell payment option : |
|
| *
Title : |
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| *
First Name : |
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| *
Last Name : |
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| *
Password : (4 to 8 characters) |
|
| *
Confirm Password : |
|
| *
E-mail Address : |
|
| *
Postal Address : |
(required for sending you samples)
|
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|
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| *
City : |
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| *
State / Province : |
|
| *
Postal / Zip : |
|
| *
Country : |
India |
| Please
be sure to use the "Confirm Sponsor"
button provided below. This enables
you to check who has sponsored you
with their mobile / cell number. If
the number you are trying has no sponsor
associated to it, please leave the
field blank. |
| Sponsored
by : |
|
You
cannot sponsor yourself... |
| |
| GENERAL |
| MobileClubIndia.com
respects your privacy. Please note
that this information is used purely
to profile you, so that you only receive
relevant surveys and adverts. None
of your individual or personal information
will be sold, hired or lent to any
third party. MobileClubIndia.com will
send out surveys and adverts on third
parties behalf. |
| Gender
: |
|
| What
is your Date of Birth? : |
DD
|
MMM
|
YYYY
|
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| Marital Status
: |
|
| How many
children do you have? : |
|
| What
type of car do you drive? |
|
| How
long have you had your car for? |
|
| Do
you have a computer at home? |
|
| Do
you do banking online? |
|
| Have
you ever bought goods online? |
|
| I
have the following pets: |
Dog/s
Cat/s
Fish
Bird/s
Other |
| Do
you have a big buy planned
in the next year? |
Car
House
Holiday
Education |
| Are
you responsible for buying groceries?
|
|
| Where
do you take your vacations? |
Local
National
International
|
| How
often do you travel by air? |
|
| Are
you a smoker? |
|
| |
| EMPLOYMENT |
| What
is your job level? |
|
| What
sector do you work in? |
|
| |
| FINANCIAL |
| Do
you have a credit card? |
|
| Do
you have a debit card? |
|
| Monthly
Income : |
|
| I have: |
Life Cover
Medical Aid
Hospital Plan
National Health
Social Security
Investments
Pension
Retirement Annuity
|
| |
| HOME |
| Type
of dwelling: |
|
| I:
|
|
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| INTERESTS |
| |
| |
| Please
send me promotional information or
vouchers for: |
Alcohol Products
Clubs in my area
Discounted Getaways
Fast Food outlets in my area
Investments
Last Minute Offers
New Product releases
Pubs in my area
Restaurants in my area
Special Offers
Things of interest in my area
Property
|
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| SUBMIT
|
| After
pressing the "Submit" button, validation
will be performed to check that
your mobile / cell number is unique,
and that your sponsor exists. |
| By
submitting your registration information,
you indicate your agreement to our
Terms and Conditions. |
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