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Please take a few moments to provide us with information about your program. This information makes it possible for us to pre-qualify and select the best possible option that can satisfy or exceed your expectations based upon your exact specifications that you provide below. Upon receipt of this information, our marketing department will contact you within 24 hours.

Your Contact Information:
Contact Name:
Title:
Company Name:
Address:
Phone: Ext.
Fax:
Web Site:
Information About Your Program:

1.

Does your program require inbound calls, outbound calls, or both?
Inbound
Outbound
Both

2.

How many inbound or outbound calls do you estimate per month?
Inbound:
Outbound:

3.

What is the anticipated length of the call (in minutes)?
Inbound minutes per call:
Outbound minutes per call:

4.

What is the purpose of the call?
Sales
Appointment Setting
Lead Generation
Lead Qualification
Market Research
Customer Service
Customer Retention
Database Update
Other:

5.

Will call contact be with Businesses or Consumers?
Business - Title(s) of contact:
Consumer

6.

When do you anticipate your program will begin and end?
Begin:
End:
Ongoing Program

7.

What product or service do you provide to your customers?

8.

What is your budget?

9.

Please provide us with any additional comments you feel is important about your company, your program or your requirements.
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