Research Request Form

QSU Publishing Company's ISO 9000 Research Service Request Form

Call 703-359-8464 or 703-359-8463 with your order, or print this form and fax it to 703-359-8462.

Request by:

Company:

Address:

Phone

Fax

E-mail

Research Request(s): (List key words in scope, SIC codes, company names, states in which you have an interest, etc.)

Database(s) to Search: (circle or highlight one) US / Canadian / Both / Mexican / All

Reason(s) for Request: (Find out about your competition, see if you have the only registration in your industry, check out a registrar, etc.)

Credit Card: (Circle one) AmEx / Mastercard / Visa / Discover

Exp. Date:

Credit Card #:*

*All Research Requests must be paid

Send to: (if different than above)

Name:

Company:

Address:

Phone:

Fax:

E-Mail:

Send via: (circle or highlight one) Fax / E-mail / and/or: US Mail; Federal Express a.m.*; Federal Express p.m.*; UPS Ground*; UPS 2nd Day*; UPS Next Day*;

FedEx Acct #:

UPS Account #:

Be sure to include a street address if you are requesting UPS or FedEx delivery.

*We cannot ship via FedEx or UPS if you do not include your account number.

Contact First with Cost Estimate? (Circle or highlight one)

Yes - Please contact me with an estimate of the cost before you begin my research request. I will not be charged beforeI am given an estimate.

No - QSU Publishing Company does not need to contact me before beginning my research request. I understand that the fee is $125.00 per hour (with a one-hour minimum) and that the research might take more than one hour to complete. I also understand that by waiving the request for an estimate, I am obliged to pay the QSU Publishing Company for the services rendered.

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