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Name

First Name

Last Name

Name of Company or Organization

Job Title or Position

Phone

Country

(###)

###

####

Industry or Trade Association (if any)

Working for a bank or financial institution? How many business loan applications do you evaluate in a month?

Fewer than 20

21-50

More than 50

Working for a corporation or government agency? How many vendors, suppliers, or customers do you evaluate in a month?

Fewer than 20

21-50

More than 50