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Company:
First Name:
Last Name:
Title:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Telephone Number:
(ie. 500-555-1234 x123)
Fax Number:
incl. area code
Email:
Website:
Is there an existing project for which you have
statisical data? Yes No
What industry best describes your company or
organization:
Select all of the services that you are currently most
interested in.
Order Taking and Customer Service
Dealer Locate and Referral Website Customer Service
Surveys and Customer Contact
Class, Seminar and Event Registration
Direct Marketing
Other Service
Do you have a script?
Yes
No
What is the length of your proposed project?
When does your project begin?
MM/DD?YY
When does your project need to be completed?
MM/DD?YY
What days of the week would you like to handle calls?
What time of the day do you expect to make or receive
most of you calls?
How many calls do you need to handle per month?
Length of calls in minutes?
Please describe your project below.
Include expected results and number of contacts to be made if possible.
To help us with our own market research, please tell us
how you found us
other source
What is your preferred method of initial contact?
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