Speedback - Marketing Research & Consulting

MARKETING RESEARCH AND CONSULTING

Proposal Request Form

To receive more information on our services or to request a proposal, simply fill out the form below.

Name:

Company:

Street Address:

City:

State:

Zip:

Telephone:

Fax Number:

E-Mail:

Project Request for Proposal Information:

Would you like Speedback to complete and fax to you a general non-disclosure form prior to discussing your project interests?
No Yes
If yes, general subject matter to be included in the non-disclosure statement.

What are your key objectives for the use of this research? What decisions are you trying to make or how will the findings be used?

Do you have access to lists of people whose input you would like to collect?
No Yes

What is your approximate timing for this project?

Speedback
18255 Bollinger Canyon Road
San Ramon, CA 94583

Email: info@Speedback.com

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Name:
Company:
Street Address:
City:
State:
Zip:
Telephone:
Fax Number:
E-Mail: