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Hello:
You are invited to fill out our questionnaire next to your request. In this questionnaire, we would like you to provide us with further information regarding the current technology used by your application. Based on this we are in a better position to evaluate your request and provide you with our suggestions. It will only take a few minutes to complete the questionnaire.

If you feel uncomfortable answering any of our questions online, you can provide us with the same information by email or during our first meeting. It is very important for us to learn your current status and reasons behind your request.

Your responses will be strictly confidential and data will be kept only for the duration of the current project. Your information will be coded and will remain confidential. If you have questions at any time about the this questionnaire or our procedures, you may contact us.

Thank you very much for your time and support.You may now begin by clicking on the Continue button below.

 
 
 
Partner Information
 
 
 
Company Name
   
 
 
 
OPN Pin #
   
 
 
 
Full Company Address
   
 
 
 
Contact Name
   
 
 
 
Contact Title
   
 
 
 
Contact Phone Number (Direct)
   
 
 
 
Contact Email Address
   
 
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