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- agent q&a



Agent Q&A Form

Please answer the following questions:

Name:

Primary Language:

Email Address:

Phone#
(w/country code)

Fax#
(w/country code)

Address:



Where did you hear about us?

Please name the magazines, newspapers, and other information sources that you frequently consult:

Are you interested in the Agent or Wholesale Program?

Describe your business background:

How many employees do you currently have?

What is your current business?

In what field(s) do you have experience?

Why are you interested in Call-Back?

If, Other . . . explain:

Are you currently working with any Call-Back services?
(If so, please specify)

In which countries do you plan to develop Call-Back business?

How do you plan to build a successful Call-Back business?

What type of computer do you have access to?

Do you subscribe to any on-line services?

 Yes  No

Comment/Question:





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