We're delighted you're joining the Yorkshire Post Reader Panel.  To join, all you need to do is complete your details below and then click 'submit'.

1.	What is your email address?

2.	Please re-enter your email address below...

3.	Title
	Mr
	Mrs
	Miss
	Ms
	Dr.
	Other

4.	What is your...
	First name
	Surname

5.	What is your address?
	Number / name
	Street
	City / Town / Village
	Postcode

And that's it!  All you need to do now is click 'submit' and watch out for our email in your Inbox.  We'll send you our first survey within the next week or so - it will be addressed from 'The Yorkshire Post Reader Panel'.  Thank you.