Welcome to Nexus Focus Group Opinions Club 

New Member Setup - If you do not fill this form out, we cannot notify you via email or ship any books to you. Trial members must also sign up one time.

You only have to do this one time. You must complete all boxes except the fax box. You must use a telephone number as your new member number. Your club number should have been provided to you from the person who introduced you to our club via a handout or email message.

Your Member number: (your telephone number without spaces or dashes. e.g. 7704487212

(Please note your member number is your telephone number with area code, not your value card number.)

Your First and Last Name:

Address:

City:

State:

Zip:

Your email address :

You were referred by or heard about us from:

How did you hear about us: You must accurately enter where you heard about us to have your new free account activated. If you received a 4"x 10" flyer you need to enter the name of the retail store where you picked up this flyer. If you heard about this from a friend use their first and last name.

It may take a minute to have your information submitted, so only push the submit button one time. When you see the form confirmation screen it is better to use your browser back button to return the previous screen.