CREATE A REQUEST FOR QUOTE

       We appreciate the opportunity to participate in your bidding process for mystery shop, survey and/or research services. Please enter pertinent information about you and your project(s) in the fields below. We are committed to protecting the privacy of our prospective clients and the information you provide will be held confidential. We look forward to receiving your request and will respond promptly.


First Name:
Last Name:
Title:
Organization:
Street Address:
City:
State / Province:
Zip / Postal code:
Phone: (include ext.)
Fax:
Email:
How did hear about Xzamcorp:



                                 Services You Are Interested In:                               
                                   Mystery Shopping                             
Telephone, e-mail and/or text chats:
Number of locations to be shopped:
Number of shops per month per location:
Purpose(s) of the Shops:
(choose as many as are applicable)
By which method(s) would you
prefer your results:

(choose as many as are applicable)
Requested Start Date:
Attach relevant files:
(proposed script, sample, etc.)

Comments and/or Questions:                                                                                                                                          

                                             Surveys                                         
Telephone and/or Web Surveys:
Sample Size:
Number of Completes Sought:
Purpose(s) of the Survey:
(choose as many as are applicable)
By which method(s) would you
prefer your results:

(choose as many as are applicable)
If the survey is to recur on a periodic basis,
please specify frequency:
Attach relevant files:
(proposed script, sample, etc.)

Comments and/or Questions:                                                                                                                                        

                   
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