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Dear Potential Advertising Sponsor:

Thank you for your interest in advertising with the Stratics Network.

To better understand your advertising requirements, please take a moment to complete this brief questionnaire.

Name:
Email Address:
Telephone:
Fax:

Position Title:
Company Name:
Street Address:
City/State:
Zip Code:
Country:

Web Site Address:

What is your role in the advertising process? With an Ad Agency Gathering information for my business Other (please describe) How would you best describe the business or product you wish to advertise? Software Hardware Internet Services Entertainment Development Publishing Other (please describe) What is the reason you are seeking advertising information? An upcoming product or website An existing website Conducting research Other (please describe) Additional comments or inquires?

STRATICS CENTRAL