Radford Participation Form

The following steps are required to finalize the Radford Registration Process.

Company submits completed form
Radford Sales Manager reviews form and sends back to Company for final approval
Company submits payment and agrees to Radford's terms and conditions.

Please contact your Sales Account Manager with any questions at +1 (408) 321-2500 or registration@radford.com.

The fields marked with an asterisk (*) are required.

Section 1: Survey Participation and Results

Which survey(s) would you like to participate in? Select all that apply*

US Technology Surveys:
Radford Benchmark Survey
Radford Executive Survey
Radford Sales Survey

US Technology and Life Sciences Survey:
Radford Benefits Survey

Global Life Sciences Survey:
Radford Global Life Sciences Survey

Global Technology Survey:
Radford International Survey

Survey Participation
Selected	Survey year	Survey	Participation level for global surveys	Cost
Survey participation costs will be generated based on your survey selection. Please select one or more surveys in the area above.
	2009	Radford Benchmark Survey		$5,200
	2009	Radford Executive Survey		$3,800
	2009	Radford Benchmark and Executive Surveys Participation (includes multi-survey discount)		$7,900 (discounted $1,100)
	2009	Radford Benchmark Survey (includes multi-survey discount)		$4,400 (discounted $800)
	2009	Radford Benchmark and Executive Surveys Participation (includes multi-survey discount)		$7,000 (discounted $2,000)
	2009	Radford Sales Survey		$4,100
	2009	Radford Sales Survey (includes multi-survey discount)		$3,700 (discounted $400)
	2009	Radford Benefits Survey		$2,050
	2009	Radford Global Life Sciences Survey	6 or more countries	$5,600
			4-5 countries	$4,500
			2-3 countries	$3,700
			1 country	$3,200
Please select countries for the Radford Global Life Sciences Survey that you will be submitting data for. Americas Select all Brazil Canada Mexico Puerto Rico United States EMEA Select all Austria Belgium Czech Republic Denmark Finland France Germany Hungary Ireland Israel EMEA (cont'd) Italy Netherlands Norway Poland Romania Russia Spain Sweden Switzerland Turkey Ukraine United Kingdom Asia/Pacific Select all Australia China India Japan Singapore Taiwan Thailand Undecided at this time. Please have a Sales Account Manager contact me to discuss.
	2009	Radford International Survey	26 or more countries	$12,500
			16-25 countries	$11,500
			11-15 countries	$10,000
			7-10 countries	$7,500
			4-6 countries	$5,500
			2-3 countries	$4,000
			1 country	$2,500
Please select countries for the Radford International Survey that you will be submitting data for. Americas Select all Argentina Barbados Bermuda Bolivia Brazil Canada Chile Colombia Costa Rica Dominican Republic Ecuador El Salvador Guatemala Honduras Mexico Panama Paraguay Peru Puerto Rico Trinidad and Tobago Uruguay Venezuela Europe Select all Armenia Austria Belgium Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Germany Greece Hungary Ireland Italy Europe (cont'd) Latvia Lithuania Luxembourg Netherlands Norway Poland Portugal Romania Russia Serbia Slovakia Slovenia Spain Sweden Switzerland Turkey Ukraine United Kingdom Middle East/Africa Select all Algeria Bahrain Cameroon Egypt Israel Jordan Kenya Kuwait Lebanon Morocco Nigeria Oman Qatar Saudi Arabia South Africa Tanzania Tunisia United Arab Emirates Asia/Pacific Select all Australia Bangladesh China Hong Kong India Indonesia Japan Kazakhstan Macau Malaysia New Zealand Pakistan Philippines Singapore South Korea Sri Lanka Taiwan Thailand Vietnam Undecided at this time. Please have a Sales Account Manager contact me to discuss.

Note: Pricing will be reviewed for multi-survey and continuing participant discounts before order is finalized by the
Radford sales department.

Does your company require immediate access to results? Purchase of results requires 2009 survey participation at costs listed above.

Immediate Access to Results - Additional Charge
Select	Survey year	Survey	Participation level for global surveys	Cost
This section will be generated based on your survey selection. Please select one or more surveys in the area above.
	2008	Radford Benchmark Survey		$5,700
	2008	Radford Executive Survey		$4,400
	2008	Radford Benchmark and Executive Surveys (includes multi-survey discount)		$8,700 (discounted $1,400)
	2008	Radford Sales Survey		$4,600
	2008	Radford Sales Survey Custom Report		$1,000
	2008	Radford Benefits Survey		$2,200
	2008	Radford Benefits Survey Custom Report		$900
	2008	Radford Global Life Sciences Survey	6 or more countries	$6,600
			4-5 countries	$5,400
			2-3 countries	$4,500
			1 country	$3,900
Please select countries for the Radford Global Life Sciences Survey that you require immediate access to results. Americas Select all Brazil Canada Mexico Puerto Rico United States EMEA Select all Austria Belgium Czech Republic Denmark Finland France Germany Hungary Ireland Israel EMEA (cont'd) Italy Netherlands Norway Poland Russia Romania Spain Sweden Switzerland Turkey Ukraine United Kingdom Asia/Pacific Select all Australia China India Japan Singapore Taiwan Thailand
	2008	Radford International Survey	26 or more countries	$13,000
			16-25 countries	$12,000
			11-15 countries	$10,500
			7-10 countries	$8,000
			4-6 countries	$6,000
			2-3 countries	$4,500
			1 country	$3,000
Please select countries for the Radford International Survey that you require immediate access to results. Americas Select all Argentina Barbados Bermuda Bolivia Brazil Canada Chile Colombia Costa Rica Dominican Republic Ecuador El Salvador Guatemala Honduras Mexico Panama Paraguay Peru Puerto Rico Trinidad and Tobago Uruguay Venezuela Europe Select all Armenia Austria Belgium Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Germany Greece Hungary Ireland Italy Europe (cont'd) Latvia Lithuania Luxembourg Netherlands Norway Poland Portugal Romania Russia Serbia Slovakia Slovenia Spain Sweden Switzerland Turkey Ukraine United Kingdom Middle East/Africa Select all Algeria Bahrain Cameroon Egypt Israel Jordan Kenya Kuwait Lebanon Morocco Nigeria Oman Qatar Saudi Arabia South Africa Tanzania Tunisia United Arab Emirates Asia/Pacific Select all Australia Bangladesh China Hong Kong India Indonesia Japan Kazakhstan Macau Malaysia New Zealand Pakistan Philippines Singapore South Korea Sri Lanka Taiwan Thailand Vietnam

Section 2: Company Profile

Region	Headcount
Asia/Pacific
Canada
Europe
Middle East/Africa
Central and South America
United States

Section 3: Global Locations

Select each of the countries in which your company has operations.

Section 4: Radford Network Access

This section allows you to add contacts to access the Radford Network. Each contact receives an individual and confidential username and password via e-mail from password@radford.com. You are permitted to register up to six contacts including yourself. You must designate one Renewal and Network Primary contact, as well as a Survey Primary contact per survey. Please see the Radford Network access role definitions for more details. Once registered, these contacts may add, modify, delete Network access via the Radford Network.

Contact 1 information
First and last name*	Title*	E-mail address*
Phone number* Ext	Fax number

Address
Same as company address

Street address 1*	Street address 2	City*
State/Province/County*	Zip/Postal code*	Country*

Survey	Renewal contact (one per company)	Network Primary (one per company)	Survey Primary (one per survey)	Regional contact for global surveys	Network Access	General Access
Survey	Click here to view Radford Network access role definitions

Radford Benchmark Survey
Radford Executive Survey
Radford Sales Survey
Radford Benefits Survey
Radford Global Life Sciences Survey
Asia/Pacific
Canada
Europe
Middle East/Africa
Other Americas
United States
All of the above
Radford International Survey
Asia/Pacific
Canada
Europe
Middle East/Africa
Other Americas
All of the above

Add another contact

Comments:

Please review your entries. Once the form is submitted, you will no longer be able to make changes. A Radford representative will review your selections and contact you with any questions if necessary. Please print a copy for your records.

An e-mail will be sent confirming receipt of your order.

Thank you!

General industry* - Definitions
Specific industry/product line*	max 25 characters
Organization type* - Definitions	Parent Company
Ownership*	Stock Symbol
Fiscal year start date*
Insurance plan start date*
Sales plan start date*
Reporting location revenue (Last complete fiscal year)
Worldwide revenue (Last complete fiscal year)

Employee Category	Anniversary System	Focal System	Focal Month
Executive
Management Professional
Individual Contributor Professional
Individual Contributor Support
Sales
	» Clear selection

Region	Anniversary System	Focal System	Focal Month
The Americas (excluding US)
Asia/Pacific
Europe
Middle East/Africa
	» Clear selection

Company name*	Street address 1*	Street address 2
City*	State/Province/County*	Zip/Postal code*
Country*	Website address

Contact 2 information
First and last name*	Title*	E-mail address*
Phone number* Ext	Fax number

Contact 3 information
First and last name*	Title*	E-mail address*
Phone number* Ext	Fax number

Contact 4 information
First and last name*	Title*	E-mail address*
Phone number* Ext	Fax number

Contact 5 information
First and last name*	Title*	E-mail address*
Phone number* Ext	Fax number

Contact 6 information
First and last name*	Title*	E-mail address*
Phone number* Ext	Fax number