Full Name:

Age:

Gender:

Nationality:

Phone/Whatsapp Number:

Address:

You must have a valid passport or driver’s license

Note: You are required to setup a Butterfield bank account where you will
receive funds for customer satisfaction research (CSR) or you can make use of
your present Butterfield account.
We sincerely wish to notify you that by filling out this form you have agreed as a
customer service field agent to carry out customer satisfaction research for
Studebaker Survey Research Group LLC

Kindly note that you will receive a call from your research manager when you
submit this contract.

Signed

Management.