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Request for Information

email:
info@nielsonpi.com


1. Contact Information

 

 
Your Name (required):



Phone Number (USA):


( ) - -


Best Time to Call:


Morning Afternoon Night


Your Time Zone:



E-Mail Address (required):



Research Topic (required):


 
Nature of Project:


2. Project Needs

 


Do you currently have a web site?


Yes  No

If yes, what is the Web address?


What best describes your needs? Select all that apply:

 Web Site Design

 PowerPoint Design

 Research Project

 Online Course Design

 Update of Information

 New Graphics

 Prepare Written Report

 Color Design

 Additions to Current Site

 Logo Design

 Web Site Maintenance

 Research & Text Writing



Additional comments and description of project:


 
Thank you for your interest in Nielson's Research Service