Prospective clients inquiry form

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Client Company Profile for Lubin School of Business IDM Lab Assistance

Company Name:
Est. FYSales: $
Company Contact First Name:
Company Contact Last Name:
Company Contact Title:
Number of Employees
Who else is involved with
decision to proceed?

Street Address:
City:
State:
ZIP: first five digits only
Telephone:
Cell phone:
E-mail address
(we will send you a confirmation e-mail)
Web site:
Blog:
In the space below, please describe briefly the challenge and help needed with desired delivery dates. You will be contacted by Harvey Markovitz or one of the Lab Managers.

In consideration for Lab Internship work, would you like to support the Lab with a tax-free donation to the Laura Smith Fund for the Interactive and Direct Marketing (IDM) Studies at the Lubin School of Business, Pace University? Go to www.pace.edu/laurasmithfund for details.