Contact Information
* Full Name:
* Business / Organization:
Title:
* Telephone:	Ext.
Fax:
* Email:
* Website URL:
Industry / Field:	Please select from the following: Application Service Provider Banking / Financial CLEC Communications Consumer Electronics Education Government Health Services Hosting Services ILEC Internet Service provider Software Development Telecommunications Other
Decision Making Role:	Please select from the following: Primary Decision Maker Strong Influencer Research / Information Gathering

---

	General Information
* Which Technical Support solution(s) do you require? (check all that apply) Connectivity Support Desktop Support Dial Up Application Support Cable Web Hosting Support xDSL CRM / Service Desk Satellite VoIP Support Wireless
* How many end users do you need to supported? 0-1000 1000-5000 5000-10,000 10,000+
* What level of service do you require? (select one) 24/7/365 After Hours & Holidays Business Hours Overflow
* What response methods do you need supported? Telephone Internet Chat Email Online Ticketing
* Who are your end users? (check all that apply) Businesses Consumers Internal Employees
* What is your target Start Date? (Month / Year)
Which additional CRM service desk solutions do you require? (Check all that apply) Customer Signup Pre-Sales Support User Provisioning
Where are your end users located? (check all that apply) North America Europe
How is your help desk currently managed? Internal Staff Outsourced Hybrid We Don't have one yet

---

	Marketing Survey
If you have the time. we would greatly appreciate your answers to the following questions.
How did you hear abount PC Helpline? Internet Search Referral Online / Magazine Article Other
What are your primary reasons for considering outsourcing? (check all that apply) Access Skilled / Specialized resource Faster access to new markets Maintaining focus on core business strength Improving business processes Lower operating expenses Lower capital investments Improved customer experience
Is a near-shore outsourcing partner a priority? High Priority Low Priority Don’t care
Do you currently outsource any other IT or business process functions? Yes No Not Sure
This information is gathered on servers operated by PC Helpline. PC Helpline does not share any information with any third party, and will not use this information for any purposes other than those specified above. If you are uncomfortable providing this information, please click on the "Back" button in your web browser to return to the previous page, or use our general inquiries form on our (link to) Contact Page. By submitting this information, you consent to us using it as described above and sharing it within our organization for these purposes. We are committed to maintaining your privacy at all times. To find out more, please review our (link to) Privacy Statement.