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Your Company Profile
Tell us a bit about yourself and your needs. Click here to download our confidential form for your word processor. Or, print this page, complete the form, then fax it to us at 203/372.3312. We will contact you ASAP to discuss your situation in strict confidence...

CONFIDENTIAL
COMPANY PROFILE

FAX To: Weikert & Company, LLC

 (203) 372-3312

Date: ___________________
 

Name:____________________________________________________________________

Company Name:____________________________________________________________

List Any D/B/A Names: ______________________________________________________

Address: _________________________________________________________________

City/State/Zip: _____________________________________________________________

Office Phone: __________________________   Home Phone: ________________________ 

Fax:_____________________E-mail Address:_____________________________________

Number of Sites: ______    Business (%):  Inbound: _____  Outbound:__________     

Hours of operation: _______________

Total Number of Seats: ____  Number of FT TSR/CSR:____  Number of PT TSR/CSR: ____

Total Number of Employees: ________________  Number of Sales People:_______________

Number of Employees Under Contract: ______   Job Types Under Contract: _______________

Type of Call Processing Technology: ____________________________________________ 

Type of Applications Software: _________________________________________________

Type of Technology Used For E-Commerce and Voice and Text Over IP:

 _________________________________________________________________________

Average Monthly Billing: _____________  Prior Year’s Revenues :_____________________

Method of Billing:   Time Billing (   )  Transaction Billing (   )

Number of Accounts: _______    Percent of Accounts Under Contract: ______    

Average Length of Contracts:______

Does Any One Customer Represent More Than 50% of Revenues:   Yes (   )   No  (    )

Do You Own or Lease Your Facility:   Own (  )   Lease   (  )

If You Lease, For Long Is It?______ ______________________________________________________________________

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