Please tell us about your needs so that we can serve you better.

1. Objectives:  What specifically would you like to accomplish

2. Background:

a. Company: 

b. My job involves:

  Strategic Alliances               
  Supply Chain Management   
  Outsourcing                       
  Business Development      
  R&D/Tech Development        
  Strategic Planning              
  Other                                 

3. When will you need assistance? 

4. What is the best way to get back to you?

a. Phone:     

b: E-mail:    

5. Any other comments or feedback that we should know to serve you better?

6. Send Information to us by email:     

 All Information shall be deemed CONFIDENTIAL and not distributed or shared with any other party or used for any other purpose than the sender intended.