SBS Consulting & Distribution

The SBS Public Messaging Strategy platform delivers a true comprehensive corporate PR solution in a market where very few intimately understand the nuances of cost effective media representation and communications.

- Christopher Malter
Integrated Marketing Communications

Network Affiliates Lead Referral Program

Step Two:

Please provide us with contact information about yourself:
ITEMS LISTED IN BOLD TYPE MUST BE FILLED IN!

Your Name:

Your Phone:

Your E-mail:

Fax:

Mailing Address: This is where commission cheques will be mailed to

Street:

City:

State:

Postal Code:

You are submitting as:

If you are submitting as an individual please provide us with your Your Social Insurance Number: (Required for tax purposes)

How well do you know the Referral:
(1Least-10 best)?

Step Three:

Please Provide us with required information about the potential client

Company Name:

Contact Person:

Contact Tel:

Contact Fax:

Contact Address:

Street:

City:

State:

Contact P/Code:

Contact Website URL:

Which of SBS's services is this contact most likely to require ?
Please Select all that apply.

	Telecommunications		Consumer Electronics
	Computer Software		Public Relations
	Computer Hardware		E-Commerce
	IT		Executive Job Placement
	Local/Regional/National/ Global Network Design/ Installation/Management		WebsiteDesign/ Management/Hosting
	General Management Consulting		Strategic Business Planning
	Marketing Plan Development		Business Plan Development
	Crisis Management		Organizational Staffing and Compensation Planning
	New Product/Service Market Introduction Planning		Vertical Market Industry Research
	Trade Show Design, Budgeting, Management, and Planning		Effective Written Communications Development (Web, Marketing Collateral, Correspondence, Press Releases, etc.)
	CxO in Residence		General Management Consulting
	Other

How would you rate (1-10) the level of need for this prospect?

Please provide us with as much additional information as you can:

The submission of any incomplete, false or misleading information will void any potential Commission.

SBS Is A Global Hi-Tech Management Consulting Firm Serving The Telecommunications, IT, Network Infrastructure, E-Commerce, Computer and Consumer Electronics Industries.