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Programming
First Name
Last Name
Company
E-Mail
Phone Number  Extension (if any)

How would you like us to contact you?
Phone
E-Mail

Please describe briefly what you are trying to accomplish:

Language/platform in which expertise is required
Version
Operating System(s)
Version

Level of expertise needed

Estimated length of engagement (check one or enter numbers):
As needed to solve problems
Unknown
Number of hours
Number of days
Number of months

Number of people needed
Full-time
Part-time

Is the project budgeted?
Yes
No
Unknown

Timeframe when help needed:
Immediately
Within 3 months
Within 6-12 months
Unknown

Location of workplace:
Client location:
Off-site

Characteristics of engagement (check all that apply):
Need self-managed resource(s)
Will provide project manager
Need analysis and designers
Need programmers only
Need documentation
Need troubleshooters
Other:

End-user interaction

Additional comments or questions:




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