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Filter Application
Please fill out all the information below
Screen Safer Application
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
On what device do you want the filter to be installed on?
Android
Apple
Other
Some more questions
Why do you want to install a filter?
Someone is forcing me or pushing me to do so
Because i want to have control on myself
Other
Do you understand a filter might cause sometimes an app or site not to work properly and you will need to contact support to open it?
Yes, and I'm ready for it.
Other
Do you want someone to control your filtering level and require approval for opening additional item or anything you ask for should be allowed without questions?
Yes, I want to have someone to control my filtering level
Other
What will happen if something which you need is not working properly, will this make you remove your filter?
Yes
No
Other
If you have money for your phone and internet usage why would you not be able to afford the filtering cost?
I am short in money and looking to cut corners wherever possible
I am only willing to install a filter if it doesn't cost me to much money
How long can you commit that you will not remove the filter for any reason?
3 Months
6 Months
12 Months
Other
It's important that you commit to pay at least part of your filter.
Regular price for a filter id $14.99 per month, we're here to make it cheaper for you,
How much can you afford to pay for your filter per month?
I can afford to pay the entire cost of the filter ($14.99/month)
I can afford to pay $5 per month
Other
What will be your form of payment?
Credit/Debit Card
QuickPay/PayPal
Other
If you had a filter before....
Which filter did you have?
How was your experience?
Did you have any problems?
Why don't you have that filter anymore?
On what device was it installed?
Android
Apple
Other
Submit
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