COMPANY INFORMATION

*Company Name:

*Street Address:         

*City                                              *State    *Zip Code

*Estimated number of participants in your organization:

CONTACTS

*Name #1:     *Phone:     *Event Leader? Yes No

*Best time to contact:     *E-Mail:

Name #2:     Phone:     Event Leader? Yes No

Best time to contact:     E-Mail:

Name #3:     Phone:     Event Leader? Yes No

Best time to contact:     E-Mail:

Name #4:     Phone:     Event Leader? Yes No

Best time to contact:     E-Mail:

Name #5:     Phone:     Event Leader? Yes No

Best time to contact:     E-Mail:

EVENT DETAILS

Date you would like to begin answering the questionnaires:

Have you used IntellMatcher before? Yes No

What other matching services have you used?

*How did you hear of us? (please select from the list) Search Engine (Yahoo, Google, etc) Used your service before Other Another company Direct Mailing

Do you have any questions or concerns about running this type of event?

What custom message would you like printed at the bottom of the result sheets?

COMPANY STRUCTURE DETAILS

Please describe your company's organization tier descriptions (or use the defaults):

    If you do not have a particular level, enter NOT USED.

    Bottom Level Description:       (i.e. Office)

    Third Level Description:           (i.e. Area)

    Second Level Description:      (i.e. Region)

    Top Level Description:             (i.e. Firm)

Please enter a list of your company's "Offices" (or BOTTOM LEVELS)

    If you are not using this level, leave it blank.  Otherwise, enter one "office name" per line.

Please enter a list of your company's "Areas" (or THIRD LEVELS)

    If you are not using this level, leave it blank.  Otherwise, enter one "area name" per line.

Please enter a list of your company's "Regions" (or SECOND LEVELS)

    If you are not using this level, leave it blank.  Otherwise, enter one "region name" per line.

Please enter a list of all possible TITLES in your company.

    Enter them in order of seniority (i.e. CEO at the top)

NOTE: Fields marked with * are required