Survey

List Processing: please complete the below requirements for a prospect list that does NOT need to be distributed to the dealers, but will be loaded into the CRM and utilized for future marketing efforts.

Requestor Name:

Requestor Email:

List source origin (could be from a campaign or purchased list):

Date list received:

Product Group(s) What product group does this campaign support?
Check all that apply
	PSD
	ESD
	LFP
	ICS

Market Segment (If the audience represents a market segment add an x below next to the market, if not, the-salesEDGE will segment the audience based on company name filters):
	Commercial Printing
	Education
	Finance
	Government-Federal - authorized approval required to include this segment
	Government-State/Local
	Healthcare
	In Plant
	Legal
	Manufacturing
	Retail
	Mix of All

Other information (for example usage rights on the incoming list):