Dentists Research – Payment Form

Thank you for taking part in the Dentists research, we hope you found it interesting!

Your incentive payment will be sent via PayPal. Please note that while we endeavour to process all payments as quickly as possible, in some cases this may take up to 2 weeks from the end of the research to be processed.

Please ensure you provide your preferred payment details as soon as possible, we won't chase you for these if failure to provide them in good time.

Please fill in your details below and make sure all are correct and up to date

Many thanks,


The Members Team

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*Please note that this is the email address that your payment will be sent to. Please ensure it is correct to avoid delays.

This information will be held confidentially and securely by Roots Research Ltd in accordance with the Data Protection Act 1998 and Market Research Society Code of Conduct.

I understand that my information will only be used to provide me with the opportunity to participate in occasional paid research. I am aware that I am under no obligation to participate and I am entitled to have my data removed at any point. *
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