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This questionnaire is for BETTER or BEST OPTION Memberships.

PLEASE FILL IN QUESTIONNAIRE SO WE CAN DO OUR HOMEWORK BEFORE WE CALL YOU.






    Your Name: Phone Number:
    Business Name: State:
    Industry:
    Email:
    Website?:
    YesNo
    If yes, website address:
    Years in Business:
    Less than 1 year2-3 years4-6 years7 or more years
    Number of Employees:
    1-45-1011-1516-20Over 21
    Annual Revenue:
    Less than $100,000$100,000 to $300,000$301,000 to $750,000$751,000 to $1.2 Million$1.3 Million to $2.5 MillionOver $2.5 MillionPrefer not to say
    Best Time to Call:
    (We make calls based on EST TIME ZONE)

    Your Time Zone:
    Please select...

    8:00AM to 10:00AM10:00AM to 11:59AM
    Noon to 2:30PM2:31PM to 5:30PM
    5:30PM to 7:00PM7:00PM to 9:00PMAfter 9:00PM

    Most important concerns regarding your business:
    1:
    2:
    3:
    If you are thinking about starting a new business, what type of business are you planning on?

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