Sign-up for the Premier Technology Panel of Amplitude Research

Welcome to the Registration Site for the Panelspeak® Technology Panel of Amplitude Research®. Your participation in our surveys provides valuable feedback for our clients AND provides you with ongoing awards.

You are eligible to participate in our Technology Panel if you work in ANY capacity at a manager level or higher for a technology company OR you work primarily in a technology field such as programmer, system administrator, dba, software developer, web developer, or Internet security expert.* There is no sign-up fee. CLICK HERE to learn more about our eligibility requirements.

Our surveys provide either a $10.00 Amazon.com® gift card* or a $10.00 Target Stores GiftCard* to EACH respondent who completes the survey. CLICK HERE to learn more about earning awards. CLICK HERE TO SIGN-UP NOW!

Please complete the FORM BELOW to sign-up for our surveys.** If you have previously registered for our technology panel, please do not register a second time. If you need to update your registration information, please e-mail the changes to update@amplituderesearch.net.

*Amazon.com and Target Stores are not sponsors or co-sponsors of this promotion and are in no way affiliated with Amplitude Research®. Use of merchant names and/or logos are by permission of each respective merchant and all trademarks are the property of their respective owners. Amazon, Amazon.com, and the Amazon.com logo are registered trademarks of Amazon.com, Inc. or its affiliates. Amazon.com Gift Cards ("GCs") may be used only for purchases of eligible goods on Amazon.com. GCs cannot be redeemed for purchases of gift certificates or cards; from some third party sellers; or at Amazon.com Auctions. GCs cannot be reloaded, resold, transferred for value, redeemed for cash or applied to any account. Amazon.com is not responsible if a GC is lost, stolen, destroyed or used without permission. See www.amazon.com/gc-legal for complete terms, restrictions and exceptions. GCs are issued and © 2008 by ACI Gift Cards, Inc., a Washington corporation.

**Registration as a member of our panel is limited to persons who are U.S. residents and age 18 years or older. The form and amount of award will fluctuate among surveys depending on the selections made by Amplitude or its clients, and are described in each survey invitation. Amazon.com gift cards are sent by email. Target GiftCards are sent by mail and can be used at Target Stores only. Therefore, please provide accurate and complete sign-up information including email address and postal mailing information to receive gift awards.

(*) Denotes required fields.

Please make sure that your name, email address, and all mailing address information is accurate to insure receipt of awards distributions. Incorrect name or mailing address information will prevent receipt of mailed awards. You must be a U.S. resident and age 18 years or older.

*Name:
*E-Mail:	Important Sign-Up Information: If you are using a spam filter, please make sure that e-mail messages from surveys@amplituderesearch.net are approved for delivery to you and that surveys@amplituderesearch.net is added to your address book. Depending on your settings, you may need to look for our emails in both your regular Yahoo inbox and your Yahoo "bulk" delivery box. Thank you.
Referrer E-Mail:
*Address1:
Address2:
*City:
*State:
*Zip/Postal Code:

*Which of the following best describes your primary job function? If you do NOT fall within one of these job function categories, you are NOT eligible for our panel.
*Do you recommend, approve or buy goods or services relating to the technology industry for your company as part of your primary job function?
Yes No
*What are the approximate annual revenues of the entire organization you work for?

*Number of employees at all locations of your company?

*What is the approximate dollar amount of the annual IT budget, including hardware, software, staff, and consulting services, of the entire organization you work for?

*How long have you worked in the technology industry?

For technical persons only: In what platform, database or programming areas do you consider yourself to have significant experience or expertise? (Check all that apply).

Platforms Languages Databases

Linux
Mac OS
.Net
OS/2
Solaris
Unix
Windows ASP (.Net)
C
C#
C++
HTML
Java
JavaScript
PERL
PHP
SQL
Visual Basic
XML
DB2
MS Access
MS SQL Server
MySQL
Oracle
Postgres
*How often are you willing to participate in our surveys?
*I have read and agree with the Terms of Agreement.
Yes No

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