1. Contact information:

   Full company name
   Company activity
   Top manager’s name
   Contact person
   Position
   Postal address
   Code, phone number, fax
   E-mail
   Web-site

2. How did you know about us:

   Internet
   Business partners
   Friends
   Other
   
   

3. Choose the services interesting for you (you may tick several variants):

   Marketing research
   Management consulting
   Business planning
   Recommendations concerning advertising and PR-actions
   Socio-political research
   Product and advertising testing
   Taxation consulting
   
   

4. Please, formulate the problem you would like to solve with the help of our company:

   
   
   

5. Please, indicate rough scope of the research (i.e. the regions where the research will be conducted):

   
   
   

6. Please, specify the research budget:

    USD/EURO
   

Thank you! Our experts will draw up a plan of a marketing research and will contact you in the shortest possible time to discuss it in greater details.