Paid Surveys and Paid Online Surveys at Online Survey Cash

Online Survey Cash

MAIL ORDER FORM

Please print this form, enter the required information and mail to:

Austin Research Institute
Dept # OSC
P.O. Box 922
Hampstead, MD 21074
USA

COST FOR MEMBERSHIP

  The cost for complete access to the Online Survey Cash member's area is just $39.99.
  This is a one-time cost.

PAYMENT OPTIONS

  We accept the following forms of payment (U.S. funds only):

cash

money orders

cashier's checks

  Note: We do not accept personal checks or COD's. Maryland residents add 5% sales tax.

  Please make your money order payable to: Austin Research Institute

CUSTOMER INFORMATION

  NAME: ____________________________________________________

  EMAIL ADDRESS: ____________________________________________

  EMAIL ADDRESS (REPEAT): ____________________________________

AGE VERIFICATION

  I hereby certify that I am at least 18 years of age.

  CUSTOMER SIGNATURE: ____________________________________________

Mail this completed form (with payment) to:

Austin Research Institute
Dept # OSC
P.O. Box 922
Hampstead, MD 21074
USA

Your username and password will be e-mailed to you immediately upon receipt of payment. Thank you.