Organization Name and Address 

	Your name:
	E-mail address:
	Company name:
	Address 1:  Address 2:
	City:
	State:
	Zip Code:
	Telephone:
	Fax:
	Preferred contact method:	Select a method E-mail Telephone Fax Postal mail  Personal visit

Organization Information

	What is your current fiscal year end?	Select fiscal year endJanuary 31February 28March 31April 30May 31June 30July 31August 31 September 30October 31November 30 December 31Other
	How many employees in your organization?	Select number 1 2-5 6-10 11-50 51-100 101-250 251-1000 More than 1000
	How many accounting personnel do you have?	Select number I do myself 12-56-1011-2021-50 More than 50
	How many office locations do you have?	Select number 1 2 3-56-10More than 10
	Do you currently have an outside accountant?	Yes   No
	What is the general nature of your business?
	Are you an SEC registrant?	Yes   No  Don't know

 

	In which industry does your organization operate? (Check all that apply.)
	110 Agricultural, Livestock, Forestry & Fishing 115 Airlines 120 Auto Dealerships 125 Banking 130 Broadcasting and Entertainment 135 Brokers and Dealers in Securities 140 Brokers and Dealers in Commodities 145 Casinos 150 Colleges and Universities 155 Common Interest Realty Associations 160 Computer Software Development and Sales 165 Construction Contractors 170 Continuing Care Retirement Communities 175 Credit Union 265 Employee Benefit Plans 180 Extractive Industries - Oil and Gas 185 Extractive Industries - Mining 190 Finance Companies 195 Franchisors 200 Property and Casualty Insurance Companies 205 Government Contractors 210 Health Maintenance Organizations 216 Hospitals 217 Nursing Homes 222 HUD 225 Insurance Agents and Brokers	230 Investment Companies and Mutual Funds 235 Leasing Companies 240 Life Insurance Companies 245 Manufacturing 250 Mortgage Banking 255 Motor Carriers 260 Not-for-Profit Organizations 265 Pension Plans (including PERS and ERISA audits) 268 Personal Financial Statements 270 Professional Services            (Doctors, lawyers, architects, engineers, etc] 275 Publishing 285 Real Estate Development 295 Real Estate Investment Trusts 300 Reinsurance Companies 305 Retail Trade 310 Savings and Loan Associations 315 Small Loan Companies 320 School Districts 325 State and Local Government 330 Telephone Companies 335 Utilities 340 Wholesale Distributors Other  Other  Other

Service information