Request form

QUESTIONNAIRE FORM

Personal information:

First name	Last name

Address

City	State

Zip	E-mail

Phone	Fax

Please answer all questions. Incomplete forms cannot be processed Which of the following types of web sites is your organization (or your consulting clients')deploying? Internet - consumer Internet - business Intranet Extranet
How many people are employed in your organization? More than 20,000 employees 10,000 - 19,999 Employees 5,000 - 9,999 Employees 1,000 - 4,999 Employees 500 - 999 Employees 100 - 499 Employees less than 100 Employees
Please select the title that most closely matches your job title/job function in your organization?
CEO/Owner Finance/Accounting Sales Marketing Other:
What types of application are currently implemented or will be implemented on your Internet sites? (select all that apply)
Billing Collaborative Computing Education E-mail Communications Marketing Entertainment/Games Research/Education	External Technical Support Internal Technical Support Customer Service Sales Force Automation Internet Telephony Transaction Processing Other
What is the primary business of your organization?
Internet Service Provider Web Hosting Service Web site Design Internet/Web Consultant	Internet Hardware Manufacturer Internet Software Developer Other: Please specify.

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