Shopper’s Voice 2021 US Survey


Speak your mind and get free stuff. Take the Shopper's Voice^® survey now!

Complete our survey and receive:

Free stuff tailored to you, including coupons, samples and special offers all year long

Instant money-saving flash rewards

A chance to win one of three $500 pre-paid gift card prizes this month

Secure Survey. Please have the main grocery shopper in your household fill out this survey. Questions marked with an asterisk (*) are mandatory.

Title

First Name*

Last Name*

Address 1*

Address 2

City*

State*

Zip Code*

Email Address*

Confirm Email Address*

This is a voluntary survey sponsored by Shopper's Voice^® a leading provider of consumer marketing information. As a responsible marketer, Shopper's Voice^® respects the personal information that you have chosen to provide us.

By taking this survey, you consent to receiving valuable offers such as coupons, samples, special offers, surveys and research opportunities, sent by email, online advertising or postal mailings by Shopper's Voice^® and our partner companies as detailed in our Privacy Policy, and you consent to our Sweepstakes Rules. Shopper's Voice^® may share the information you voluntarily provide us with our partner companies for marketing and research purposes.

We encourage you to read our Privacy Policy for more information on how we use and protect your information. If you change your mind about receiving these communications, you can cancel at any time by contacting us online (www.shoppersvoice.com), by mail (Shopper's Voice, Privacy Officer, P.O Box 1478, Broomfield, CO 80036), or by clicking "Unsubscribe" in any Shopper's Voice^® email.

I have read and accept the rules for this Sweepstakes. (*required)

I certify that I am 18 years or older (*required)
(19 in AL and NE or 21 in MS).


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