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PANEL MEMBERSHIP APPLICATION FORM
Please answer the following questions as fully as possible. This information is needed to allocate responses to the correct industry sector and size category.

All replies are treated in strict confidence.

1. Please state which survey you are interested in joining: 











2. Please provide the following contact information:

Name: 
Job title: 
Company name: 
Company address: 
 
 
 
Post code: 
Country: 
Phone number: 
Email: 
 
Secondary/alternative contact:
Name:
Phone number:
Email:

3. Please describe the main nature of your company’s business
(This is required for allocation to the correct industry sector. Please list the products produced or the nature of the processes undertaken or the services provided by your unit):

 

4. Please state the approximate number of people employed by your unit:

 

5. Please provide an approximation of your company’s annual turnover (Please clearly state currency units):

Turnover: 
Currency: 

6. Please indicate how you would prefer to complete the survey questionnaires: 


7. Please indicate how you would prefer to receive the survey reports: 





All contact information provided by Markit Economics panel members is used only for the purposes of the survey and, as well as being kept confidential by Markit Economics, is never used for marketing or other purposes.

  
 
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