| Name of the company * |
|
| Address * |
|
| Suite * |
|
| City * |
|
| State * |
|
| Zip * |
|
| Phone No. * |
|
| Extension |
|
| Fax |
|
| Contact |
| First Name * |
|
| Last Name * |
|
| Position/Title
* |
|
| Email * |
|
| Number of Records Expected |
|
| Number of Pages/Images |
|
| Frequency |
One Time
Daily Weekly
Monthly Quarterly |
| Length Of Project * |
Days
Months
Years
|
| Describe Projects
* |
|
| What form would the data be
received |
Paper Electronic
File |
RFP Due Date *
(mm/dd/yyyy) |
|
Estimated Start Date of the Project
(mm/dd/yyyy) *
|
|
| |
|
|
Please send a representative sample of
your project or documents for evaluation via: Fax
(718-326-0159) or email sales@infoserveusa.com.
|
