Marketing Systems Unlimited

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Personal Information
First Name:		Can We Contact You at Work?	Yes No
Last Name:		Industry:
Email Address:		Title:
Confirm Email:		Duties:
Street Address:		Additional Languages:
City:		Education:
State:		MSPA Certification
Zip:		ShadowShopper Certification
Home Phone:		Your Paypal Acct# ('NONE' if N/A)
Cell Phone:		Birth Year: (yyyy)
Work Phone:		Gender	Male Female
Preferred Contact Method
Which of the Following Equipment Do You Own?
Computer and /or Laptop	Yes No	Digital Camera	Yes No
Digital Scale	Yes No	Digital Thermometer	Yes No
Digital Watch	Yes No	Refractometer	Yes No
Hidden Camera	Yes No	Other Equipment:
Which Type(s) of Shops Have You Done?
Mystery Shops	Yes No	Video Mystery Shops	Yes No
In-Store / Guest Intercept	Yes No	Merchandising	Yes No
Tobacco Check	Yes No	Alcohol Check	Yes No
Customer Count	Yes No	Other Shops:

Shopping Experience
How Far Are You Willing To Drive Without Extra Travel Pay?	Miles
How Long Have You Mystery Shopped?	Year(s)
How Many Shops Are You Willing To Do Each Month?
Please Give a Detailed Description of Your Best Past Shopping Experience.
Please Give a Detailed Description of Your Worst Shopping Experience.
Please Tell Us Anything Else You Think We Should Know When Considering Your Application.
Lastly, Please Tell Us How You Heard About MSU.

Marketing Systems Unlimited / 1519 S Gilbert Street / Iowa City, IA 52240 / (800)732-3213 / info@msultd.com