MyHipSmart.com

Hey sign up early and get a great deal. Welcome! 

 

Please fill out this very small form so we can create a great experience for you, our respected customer. We will contact your email when the site is ready and you will receive a great discount. You may also win 1 free year subscription if chosen within our contest.  

 

Founder Wayne Merry

 

 

Gender   Male      Female

Name

Age          20-30      31-40      41-65   little older

When is your birthday  ___  / _____  / _____ (we don't require your year)

Your Zip

Married      Single    Whatever

How did you hear about us           friend  -  Google   FaceBook    other

Did a friend recommend our site to you?  If so please give us their name so we can reward them!

What is the main reason you want our service?  (check all that apply)

- To organize You

- To organize your family

- Get our exclusive Emergency Plan

- Get our exclusive children's scheduler

- Get our exclusive vacation scheduler

    other  ________

 

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