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Kia ora! Welcome to the HorizonPoll Māori Panel!

When you complete this Registration form and join the Horizon Research Māori Panel, you can do your first survey on the COVID-19 threat straight away.

Now your voice, experiences and needs can be heard...

By signing up right now you are in our next quarterly draw for $1000 cash and the latest iPad Pro (more powerful than most laptops) worth $1200! Or you can take the lot in cash: $2100!

In addition you get another entry in the draw for EVERY survey you complete!

PLEASE NOTE - We'd like you to complete as many of the information requests below as possible. This information is kept completely private and used for research purposes only. We don't share your details with anyone else.

First Name *

Last name *

Gender *

Your title eg: Prof, Dr, Mr, Mrs, Ms, Other *

Email *

Date of birth *

To which Iwi do you belong? *

Mobile number *

You can contact me by text

Landline (optional)

Password *

Enter a password to allow you to log in and update your details (or keep this password that has been randomly generated)

What is the sum of the following two numbers:
This ensures a person, not an automated program, is registering.

2 + 5 =