Praxa Events

Suffix/Title

First Name*

Last Name*

E-Mail Address*


Business Details

Company/Organization Name*

Street Address



City

State
Please Select a RegionAustralian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia    Postal Code

What is your primary role in your company or organization? *
Please Select from the following options Accountant Agent/Representative Analyst Applications Administrator Assistant Banker Board Member Bookkeeper Chief Executive Officer Chief Financial Officer Chief Information Officer Chief Knowledge Officer Chief Marketing Officer Chief Operations Officer Chief Technology Officer Contract Specialist Controller Database Administrator Desktop Configuration Administrator Developer Director Editor Emergency Response Lead Enrolled Agent Executive Faculty File/Storage Administrator General Manager Helpdesk Support Infrastructure Architect IT Manager/Director IT Project Manager-Applications IT Project Manager-Systems or Network IT-Multiple Roles None Primary Manager Marketing Professional Messaging Administrator Network Administrator Office Manager Office Staff Owner Partner/Managing Director President Producer Project Director/Manager Public Official/Public Worker Sales Representative Security Administrator Security Executive Security TDM Server Operating System Administrator Solutions Architect Specialist/Professional Strategy Architect Primary Student System Administrator Systems Engineer Technical/Business Consultant Technology Evaluator Technology Trainer/Teacher Unofficial IT Person Vice President Web Administrator/Master Web Developer/Designer Other

Business Phone Number (Dialing Code - Number)*
 -  

Mobile Phone Number


Brief Questions

Q.1* Does your company currently have a CRM System?
  Yes     No

Q.2* Do you have plans to introduce, upgrade or replace your CRM System?
  Yes     No

What timeframe are you looking to introduce a new/upgrade CRM System?
Please Select from the following options Within the next 3 months Between 3 to 6 months More than 6 months More than 12 months

Additional Comments