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.