First Name: Last Name:
Email:
Company:
Address Line 1:
City: State: Zip:
Phone Number:
What are the primary objectives of your outbound teleservices
needs?
Please Select One
Generate and qualify leads
Sell products or services
Perform research and surveys
Schedule Appointments
Announce an event
Register people for an event
Fundraise
Update and clean a list
Other (please specify)
Who are you primarily targeting?
Please Select One
Consumers
Small businesses
(less than 100 employees)
Medium-sized
businesses (100 to 1,000 employees)
Large-businesses
(more than 1,000 employees)
Non-profit organizations
Other (please Specifiy)
How many outbound prospects would you like to contact during
this campaign?
Please Select One
Not sure
1 to 499
500 to 1,999
2,000 to 4,999
5,000 to 9,999
10,000 to 19,999
20,000 to 49,999
50,000+
Do you need us to provide you with a list of prospects?
Please Select One
Yes - I'll need a list
No - I'll supply my own
list
Not sure
What is your estimated budget for this campain?
Please Select One
$1,499 or less
$1,500 - 2,499
$2,500 - 4,999
$5,000 - 9,999
$10,000 - 19,999
$20,000 - 49,999
$50,000 - 99,999
$100,000+
What is your estimated annual budget for teleservices?
Please Select One
$4,999 or less
$5,000 - 9,999
$10,000 - 19,999
$20,000 - 49,999
$50,000 - 99,999
$100,000+
Are you looking for a one-time campaign or an on-going program?
Please Select One
One-time campaign
Ongoing program
When do you want to start your teleservices?
Please Select One
ASAP
In two weeks
In one month
More than two months
If applicable, briefly describe your company's products and/or
services:
What additional services do you need?
Daily and weekly reportingScript writingCredit card processingDirect mail Product Fulfillment Other (please specify):
Please describe the objective of this campaign in more detail
and any additional requirements you may have. (e.g. specific
training required, script requirements, etc.)
10624 West ExecutiveBoise, Idaho 83713Tel 866-808-7366Fax 877-873-9633Toll Free 866-808-7366
E-mail: sales@intelesure.com
