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Company Qualification Questionnaire


Confidentiality, Publishing Fees, Truthful Application
All information supplied to Broadway Media is confidential and shall not be used for any purpose other than to evaluate companies for inclusion on a “BEST of the BEST in the USA” list.  No information about an applicant or their company shall be made public without the consent of the company.  No application fee is required.  Depending on the list and where the list is published, a fee may be required to offset the publishing costs of such list.  By submitting this application, you agree that it is true and correct in all material respects.

Date  

 

Category

Applicants Name/Position

Name of person filling out application if different than the applicant

Company Name

Address

Address (2nd line, if needed)

City

State

Zip Code

Phone

Fax

Email

Website

Brief description of company Services

When did your company begin its business?

Do you market your website online? If so, where?

How do you attract new clients? Recommendation, referral, advertising, etc.

Are you currently accepting new clients?

Do you feel you are qualified to be accepted for inclusion on a “BEST of the BEST in the USA” list?

Do you keep current with changing industry trends?

Do your clients recommend you to others?

In what states are you licensed or registered?
(where applicable)

Describe what makes you or your firm stand out among its peers.
 

It should be noted that industry specific criteria will require
additional  information to be gathered.

                                                                  
 
   
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