Be A Product Tester!
We are looking for volunteers to try out products from our advertisers. All you need to do is register below and you may be chosen to test cosmetics, food, household products, toiletries and more.

Fields indicated with an asterisk (*) are required.

*Salutation: 
*First Name: 
*Last Name: 
*Address: 
Address Line 2 (Apt.) : 
*City: 
*Province: 
*Postal Code: 
Phone Number (home): 
Phone Number (mobile): 
*E-Mail address: 
*Confirm E-Mail: 
Please enter the security code shown in the image
 

You hereby expressly agree that RD Association ( and its affiliates) may disclose the information you provide, in whole or in part, as a product tester to the advertiser whose product or service is the subject of the enclosed survey or questionnaire.
*1. Are you:

*2. Which age group best describes you?

3. Which of the following best describes you?

4. Please select your educational background:

*5a. Are there any children 18 years of age or younger living in your household?

*5b. If yes, which age are they:

Under 3 years of age
Aged 3-5 years
Aged 6-11 years
Aged 12-17 years
6. Please indicate your total household income:

7. Which of these activities/topics do you or your family members enjoy? Click all that apply.

Cooking
Home & Garden Projects
Sports/Fitness
Nature/Environment
Travel
Health/Medical & Wellness
8. Which of the following do you own? Click all that apply:

Dog
Cat
Car
House
9. Indicate which of the following product categories would you like to be a Product Tester. Click all that apply.

Cosmetics & Toiletries
Health
Food
Household Products
Pet
Green/Eco-friendly
10. Do you belong to a social network?

Facebook
MySpace
LinkedIn
Twitter
11. How many contacts do you have in your social network?

Under 50
51-100
101-150
151-200
200-300
Over 300
Over 500
12. Do you own a mobile device?