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Company name:
Contact name:
Address:
Web address (URL):
Phone number:
Fax:
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What level of knowledge do you have about technology solutions?
Beginner
Intermediate
Advanced
What type of industry are you in?
Who are your competitors?
Who are your target markets?
What regions are you interested in targeting?
Local
Regional
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Global
How Long have you been in business?
1 year
2-5 years
5-10 years
10 years+
What would you like Innovated Solutions to do for you?
Technology Consulting
Programming
Web Development or Analysis
Hosting Services
Graphic Design
Service Agreement
Service Call
Tech Support
System Administration
Network Management
Systems Analysis
Planning & Design
Maintenance
Hardware / Software Solutions
Retail Architecture Solutions
Other (Please Describe)
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