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First Name* :

Company*:   

Last Name*:

E-mail*:      


What industrial vertical(s) are you in? (Select all that apply.)*

Aerospace:
Alternative Energy

Health & Wellness
Other (Describe):


Where do you wish to grow your market? (Select all that apply.)

Asia
Europe
North America

South America
Other (Describe):


Do you have a physical sales presence in these regions now?
Yes    No


Do you have a plan for physical sales presence in these regions?
Yes    No


Do you currently export to these regions?
Yes    No


Do you wish to market new products or intellectual property on your new web site?
Yes    No

Describe your customers by occupation. (Select all that apply.)

Executive
Finance
Tehcnical

Procurement/Buyer
Other (Describe)


What is the status of your *Web project?

When do you wish to launch your Internet solution