|
REQUEST
FOR INFORMATION FORM
|
| *
Required |
|
|
Name: * |
|
| Title: |
|
| Company
Name: * |
|
| Address:
* |
|
| City:
* |
|
| State:
* |
|
| Zip
Code: * |
|
| Phone
Number: * |
|
| FAX
Number: |
|
| E-mail
Address:* |
|
| |
|
| Are
you currently a Master Agent? |
|
| |
|
| If yes, How many Sub-Agents do you have? |
|
| |
|
| What products do you sell? |
|
| |
|
| Are
you currently in the Telecommunications Business? : |
|
|
|
| If
yes, how long have you been in the business? |
|
|
|
|
| Based
upon your passed sales experience, over the next 12
months, how much monthly revenue in Long Distance and
Data/Internet service do you expect to sell with your
existing, or future provider? |
|
|
|
| What
are the most important factors to you in making a decision
as to a provider of service? |
|
|
|
|
