Name*

Company*

Email Address*

Phone Number*

Web Address*

How did you find out about us?

--Select One Web eNewsletter Workshop Referral Other

1. Does your business sell/serve locally, regionally, nationally, or internationally?

2. Is your business focused on a specific market niche(s)? If so, which one(s)?

3. Who are your customers? Examples: small business owners, general public, government.

B2B
B2C
B2G

3. In your opinion, approximately what percentage of your customers use the Internet?

<20%
21-49%
50%
51-70%
71-100%

4. Who are your top three competitors and what are their Web site addresses, if they have any? Please be specific.