Basex. Knowledge. Analysis. The Right Decisions for Your Business. (Briefing Request Form)

This form is being completed by:
In-House Public Relations or Analyst Relations External Public Relations

Your Name
Your Email

Company Name
URL
Address Line 1
Address Line 2
City
State
Zip
Country Code (If non-U.S.)
Main Phone Number
Number of Employees Worldwide
Location of Major Markets Worldwide
Annual Revenues -Last Year Reported
Annual Revenues -Previous Year
Number of revenue-generating customers and installations

Which Key Executives will participate in the Briefing (please list senior most executives in attendance):

First Name
Last Name
Title
Email

First Name
Last Name
Title
Email

First Name
Last Name
Title
Email

Please provide a brief overview of the company's background, products and services:

Please state the purpose of the proposed briefing (e.g. announcing a new company, a new product, new partnership, or product update etc.):

Has this company briefed Basex before:
Yes
No
Not Sure

Date of Last Briefing (if applicable):

Preferred Range of Briefing Dates: