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	Salutation
	First Name			Last Name
	Title			Company
	Telephone			Mobile
	Email			Website
	Services	Inbound Services Customer Service Sales/Customer Acquisition Help Desk/Technical Support Reservation & Appointment Scheduling Order Taking Other Inbound Services Outbound Services Survey Interviews Market Research Customer Welcome Calls Tradeshow/Event Support Tele-Collection Follow-up Other Outbound Services CRM Software Application You Already Have a CRM Application that call center will use Need CRM Application
	Approx. Monthly Calls			Avg. Call Length
	What kind of coverage do you need?	24/7 coverage Normal business hours Weekend & holiday Others
		Other (please specify)
	When do you want to begin using call center services?	ASAP In one Month Within 3-6 months More than 6 months
	Is this project already within another call center?	Yes No
	What media do your customers use?	Phone eFax/eMail Web chat & web call backs