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	To apply for a FREE subscription to *SearchCRM*, please answer ALL of the questions on the form below.
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Company Name:
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2.	Are you interested in receiving email newsletters:

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3.	Job Title: (select only one)

VP/Director of Sales Senior IT and IT Management

Sales Manager Senior Non IT Management

CMO/VP/Director of Marketing IT Staff

Marketing Manager Analyst

VP/Director of Call Center/Contact Center Architect

Call Center/Contact Center Manager/Supervisor Network/Systems Administration

VP/Director of Customer Service Non IT Staff

Customer Service Manager Consultant

COO/Director of Operations Application Manager

4.	IT Budget: (select only one)

$100 million + $5 million to $9 million

$50 million to $99 million $1 million to $4 million

$25 million to $49 million less than $1 million

$10 million to $24 million

5.	Employees at Company: (select only one)

100,000+ 500 to 999

50,000 to 99,999 250 to 499

25,000 to 49,999 100 to 249

10,000 to 24,999 50 to 99

5,000 to 9,999 1 to 49

1,000 to 4,999

6.	Role in Purchasing: (select all that apply)

Technical decision maker Evaluate products/services

Financial decision maker Determine need

Implement products/services None

Recommend and specify products/services

7.	Which of the following best reflects your organization's industry? (select only one)

Aerospace Healthcare/Health services

Agriculture/Forestry Manufacturing consumer goods

Automotive Manufacturing/Industrial (non-computer related)

Business services/consulting Oil/Gas/Mining/Other natural resources

Communications/Telecom supplier Publishing/Broadcast/Media

Computer services/consulting Retail/Wholesale

Computer/Technology manufacturer Service Provider (ASP, ESP, Web Hosting)

Computer/Technology reseller Transportation/Distribution

Education Travel/Hospitality/Recreation/Entertainment

Electronics Utility

Financial/Banking/Insurance/Real Estate/Legal VAR/VAD/Systems or Network Integrator

Government Other

8.	How many sales reps do you have in your organization? (select only one)

1-10 51-100

11-50 101+

9.	What ERP solutions do you have installed? (select all that apply)

SAP Oracle

Epicor Microsoft Biz solutions

SSA global Other

10.

What sales force automation applications do you have installed? (select all that apply)

SAP Siebel/Oracle

Sage Salesforce.com

Microsoft Other

11.

What Enterprise Marketing Automation applications do you have installed? (select all that apply)

Unica SSA Global

Siebel/Oracle Eloqua

Microsoft Other

SAS

12.

What Contact center servicing applications do you have installed? (select all that apply)

Amdocs Art Technology Group

Graham Technology Oracle/Siebel/People Soft

Onyx PegaSystems

RightNow SAP

Salesforce.com Other

13.

What Contact/Call Center infrastructure do you have installed? (select all that apply)

Aspect Avaya

Cisco Genesys

Interactive Intelligence Mitel

NEC Nortel

Siemens Other

14.

How many agents do you have in your call center? (select only one)

1-50 501-1000

51-100 1000+

101-500

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