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Company Information Company Name: Street Address: City: State/Province: -- Select One -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon N/A Zip/Postal Code: Country: Industry: -- Select One -- Financial Services Healthcare/Insurance Manufacturing Technology - Hardware Technology - Software and Online Telecommunications Transportation/Distribution/Retail Other  Annual Revenue: -- Select One -- Less than $ 500K $ 500K - 1M $ 1M - 3M $ 3M - 10M $ 10M - 25M $ 25 - 50M $ 50M - 150M $ 150M - 300M $ 300M - 500M Greater than $ 500M Company URL: Company Headquarters Location:  Your biggest challenge:  Your second challenge:  Your third challenge:  Describe your products: Indicates required fields

Primary Contact First Name: Last Name: Title: -- Select One -- Chairman/President/CEO Chief Operating Officer Chief Financial Officer VP of Engineering VP of Research and Development Director of Engineering Engineering Manager Chief Information Officer VP/Director of Sales/Support Chief Marketing Officer/VP/ VP/Director of Business Development VP/Director of Operations/IS/IT Support Manager Sales Manager Sales Representative Customer Support Representative Consultant/Analyst Other Telephone Number:  Fax Number: E-mail Address: Additional Information  Number of Employees: -- Select One -- 10 or fewer employees 11 - 100 employees 101 - 250 employees 251 - 1000 employees More than 1000 employees What percentage of your sales goes thru sales channels (distributors/reps)? What's your average lead time for configured products? What percentage of your products and services are configurable? How long does it take you to generate a quote or proposal? How did you hear about us? salesforce.com Siebel OnContact KnowledgeStorm powered site Google MSN Yahoo Analyst report/referral Press release Webinar invite Other If Other, please specify: