World Class Communications, Inc.  
Local Long Distance Data Internet The World!          
Please provide us with the following information.

Your Name:
Company Name:
Address:
City: State:
E-mail: Phone:
Number of employees:
Federal EIN or Social Security No.:

How did you hear about World Class Communications?
If you heard about us through a magazine article, please tell us what the name of that magazine was:

List ALL items below which describe your company's business:

Telephone Equipment Long Distance Local Services Systems Integrators
Data Services Internet Services Cellular/Wireless Consultant Services
Other

Approximately how large is your customer base?:

Which geographic areas or markets does your company sell to?:

How many people are in your company's sales force?:

Please list any special benefits which your company brings to market:

Describe the approximate level of experience your company executives (President, Vice-President, Sales Director) have in each area:
Long Distance:
Local Services:
Data:
Internet:
Equipment/PBX:
Wireless/cellular:
Non-telecom
business experience:

List the top five types of businesses among your clients:
First:
Second:
Third:
Fourth:
Fifth:

List ALL those companies whose LONG DISTANCE services your company is currently selling:

List ALL those companies whose LOCAL SERVICES your company is currently selling:

List ALL those companies whose INTERNET services your company is currently selling:

List ALL those companies whose DATA services your company is currently selling:

List ALL those companies whose WIRELESS/CELLULAR services your company is currently selling:

List ALL those companies whose EQUIPMENT/PBX systems your company is currently selling: