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Request for Aivea Professional Services
Request for Aivea Professional Services
First Name*
Job Title
Email*
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State*
--select one--
Outside US / Canada
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--select one--
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Last Name*
Company
Phone*
City
Postal Code/Zip
Project Type*
New application
Re-engineering/upgrade/porting
Please use the field below to describe your project with as many details as possible. Feel free to include any questions, comments, or suggestions that will help us to better understand your project.*
When do you intend to start the project?
--select one--
0-3 Months
3-6 Months
6-12 Months
1 Year+
Not Decided
Project Duration:*
--select one--
1-3 Months
3-6 Months
6-12 Months
1 Year+
Not Decided
Estimated Budget:*
Which industry segment most closely describes your organization's business?*
--select one--
Healthcare
Advertising/PR/Marketing Agency
Architecture/Engineering/Construction
Consulting/Professional Svc/Computer Svc
Education
Energy-Utilities/Oil/Gas
Finance-Accounting
Finance-Asset Management
Finance-Corporate/Investment Banking
Finance-Insurance
Finance-Real Estate/Other
Government-Federal
Government-State/Local
Government-Other
Legal-Law Firm
Legal-Corporate Legal Department
Legal-US (Federal) Government Legal Dept
Legal-State/Local Government Legal Dept
Manufacturing-Aerospace/Defense
Manufacturing-Consumer Durables
Manufacturing-EMS
Manufacturing-OEM (Electronics/Telecom)
Manufacturing-Other
Media/Publishing/Entertainment
Pharmaceuticals/Bioscience/Chemicals
Retail
Software/Internet
Transportation/Travel/Hospitality
Other
What is your relationship to Aivea Corporation?
--select one--
Potential Customer
Customer
Potential Technology Partner
Potential Channel Partner
Existing Technology Partner
Existing Channel Partner
Investor/Investor Analyst
Press
Student
Other
How did you hear about us?
--select one--
Referral
Tradeshow/Event
Sales Call
Aivea Partner/Reseller
Print Advertisement
Direct Mail/Direct E-mail
News Article/Analyst Report
Webinar/Seminar
Newsletter sponsorship/Online Ad
Search Engine
Don't Remember
* Required Fields
Your information is being gathered on servers operated by Aivea. Aivea will not share this information with any third party, and will not use the information for any purposes other than those specified above.
Thank you! We appreciate your interest in Aivea.