Creating User Account

Your Name:
First Middle (optional) Last

Gender:
Male   Female

Email address:
(« cannot change)

Password:

Confirm password:


Address:


(optional)

City:   State:   ZIP Code:

This is the address where the vibrators should be shipped.
Yes   No
The product will be sent in non-descript packaging and the contents of the package will not be visible. Please decide upon one address as a couple. If none of you selects "Yes", you will be contacted by email and there will be a delay in receiving your vibrators.




Note: Your email address and password will be used to log into the study website again. Please write down and remember them.