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Contact Name*:
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Company Name*:
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Phone: Ext.
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E-mail*:
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Information About Your Program:

  1. Does your program require inbound calls, outbound calls, or both?

    Inbound                   Outbound
    Will you Provide List? 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
    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. What search engine did you use to find this site?



  10. What keywords did you search with at above search engine?



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



  12. Tele-Center can provide you with a cost-effective web based lead management and customer tracking system that will increase sales and retain customers. Would you like more information about the system?
    Yes
    No

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