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Special FX is here to enable you to reap the benefits of our services and support. If you would like to discuss with a Special FX customer service representative how Special FX services may be of benefit to your organization, please complete this form and submit it to us. Special FX will be in touch within one business day. Filling out this form is not an obligation to purchase, it simply provides us with the base information required to begin the process.

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: The information you provide below will be handled in accordance with our privacy policy.

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* Business Name: 
Address: 
Alternate Address: 
Website: 
* Your Name: 
Your Title: 
* Telephone Number: 
Fax Number: 
* Email Address: 
   
Please define the 'business unit' to which this planning worksheet applies (ie. corporate wide, department, branch or office).
Business Unit: 
Nature of Business: 
Primary Role of the 
business unit: 
   
Who, in your organization, will make the final decision to adopt v Courier at my desk for the planning unit?
Name: 
Title: 
   
Background on Planning Unit: 
Number of Employees: 
Number of files couriered or e-mailed per day: 
Outbound: 
Inbound: 
Typical File Size (bytes):   (Please input numbers only)
   
For what purpose are these files being exchanged?: (check all that apply)
Confidential Communications 
with professional advisors: 
Confidential intra-corporate 
reporting: 
Exchange of confidential 
contract details: 
   
Identify and explain the three main uses of secure file exchange in the business unit (please consider inbound as well as outbound applications).
1: 
2: 
3: 
   
General Background: 
   
To the best of your knowledge, please indicate whether the following types of documents are being exchanged in the business unit or on a corporate wide basis, the the current method of distribution for each. (check all that apply)
Confidential Communications
with member/customer: 
Mail Courier Fax Other Not Used
Regular customer
account statements: 
Mail Courier Fax Other Not Used
Customer invoices:  Mail Courier Fax Other Not Used
Requests for proposals /
requests for quotes: 
Mail Courier Fax Other Not Used
Responses to requests
for proposals / quotes: 
Mail Courier Fax Other Not Used
   
To the best of your knowledge, please indicate whether the following types of files are being exchanged in the business unit or on a corporate wide basis (check all that apply).
Draft contracts: 
Regular financial reporting (external/internal): 
Personnel files: 
Patient/Student records: 
Any other files subject 'PIPEDA': 
Other: 
 
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