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	Outsourcing Assessment
	Information Request

Outsourcing Assessment Request

Please take a moment to complete this confidential Outsourcing Assessment Request. The answers you provide will help us help you determine the feasibility of developing a balanced and beneficial outsourcing strategy.

General information

*Required fields

Name*

Company*

Address 1

Address 2

City/Town

State/Province

ZIP/Postal Code

Phone*

Fax

E-mail*

Contact me by

Questionnaire

1] What is the total number of employees in your company?

	1-50		251-500
	51-100		501-1,000
	101-250		Over 1,000

2] What current business "pain" make exploring an IT outsourcing alternative a possible priority?

	Reduce and control overall IT operating cost(s)
	Overall improvement of IT service back to the users
	Improve company focus
	Free up internal resources for other purposes
	Overcome a difficult-to-manage/out-of-control function
	Make capital funds available
	Regain valuable office space for other purposes
	Other
If other, please outline:

3] We currently use an outside firm. Please keep us on your mailing list for possible future consideration:

YES

4] If any, how many branch offices or divisions do you have outside of Head office?

Number:

Location(s):

5] We are interesting in receiving the Complimentary Executive Assessment so please contact the following person to make arrangements:

Myself, contact info above

Other contact person - contact info below

Name:

Phone:

E-mail:

6] We may be interested in the future, please contact me again in:

3 months

6 months

9 months

12 months

Contact our customer service experts:
	Call toll-free : 1-800-561-5852
	E-mail: info@conceptcomputer.com

Operational Outsourcing