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---------------------, referred to as Employer, and -----------------------, referred to as Survey Company, agree:
Employer retains Survey Company to conduct a scientific survey of the following issues:
within the following territory:
and the following demographics:
Said survey shall take place over a time period beginning on __________, 20___ and concluding on_____________, 20___.
The survey shall be conducted by mail, with a sample size of approximately __________. The final report of the survey shall be issued on or about______________, 20___, and shall have a confidence interval of percent.
Employer shall have the exclusive right to broadcast, publish and utilize the survey results worldwide for a period of days.
Employer shall attribute the research results to the Survey Company.
Survey Company shall receive a fee of $------ (dollars) to be paid .