Sales Information Form
Your Name
Company
Email
Phone
Address
City
State/Prov.
Country:
How did you hear about us?
Website / Internet
Direct mail
Corporate referral
Other - please specify below
Specify:
Does your company currently have an Internet site?
Yes, we currently have a site.
Planning one within the next 30 days.
Planning one within the next 6 months.
Planning one beyond the next 30 days.
Uncertain about our Internet plans.
Company Size:
1-15 employees
16 - 50 employees
50 - 75 employees
75 - 100 employees
over 100 employees
What is your role in the Web project?
Information gatherer (admin/secretary)
Project manager
Decision maker
Developer
What is your role within the organization?
Marketing
Public Relations
Information Services
Finance
Human Resources
Operations
Other
What industry is your business in?
Additional Comments