Please fill out the following info.

A Lanteck rep. will call you to discuss an RFP (request for proposal)

(*Att: Potential Clients outside the U.S. *: please note any requests received after 1:00 pm will be answered the next business day.)




Company Name


First Name

Last Name


Title

Street Address

City


State


Zip


Country

Email

Phone

Fax

 

1.	What is your type of business or organization?
3.	What is your primary product or service?
4.	Our budget for this project:                              2,000-5,000 5,000-10,000 10,000-20,000 20,000-50,000 >50,000
5.	Which media do you currently use to reach clients? (please check all that apply) Newspaper/Magazine advertising Print collateral (brochure, catalog, etc.) Trade publications Yellow pages Radio Television Telemarketing CD-ROM Video Email Internet banners, links Website Other:
6.	How does companies clients currently contact businesses? (please check all that apply) Face-to-face Phone Fax Postal Mail Email 3rd party sales/account representative Reseller Other
7.	Does your company have a homepage?  Yes     No     Under Construction If yes, please enter the complete URL:
8.	Cient comments?