Schmooze Com, Inc.

Step 1 of 4

Legal Business Name
Tax ID Number
Company Type
Year Established
Address 1
Address 2
City
State/Province
Zip
Country

Step 2 of 4

Principal Contact
Title
Telephone Number
Email Address

Technical Contact
Title
Telephone Number
Email Address

Sales Contact
Title
Telephone Number
Email Address

Step 3 of 4

What is your approximate annual sales revenue?

What precentage of total revenues is contributed by the following items?

Telephony Sales IT Sales Other Sales

Which of the following best describes your primary business?

Telephony IT Other

What is your primary target client?

Small Business (1-100 users) Medium Business (100-500 users) Enterprise (500+ users)

What vertical markets are your primary focus?

Agriculture Entertainment Manufacturing Communication Government (Local)
Transportation Distribution Government (Federal) Education Engineering
Health/Medical

Step 4 of 4

What is your primary geographical coverage? (Local, Regional, National, International)

Local Regional National International

How many sales representatives does your company have?

Which of the following vendor authorizations does your organization hold?

Cisco Microsoft Nortel/Avaya Fonality Digium Other
If other, please explain

Briefly describe your business:

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