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Required information is followed by an asterix (*)
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| Contact Name* |
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| Company Name* |
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| E-mail* |
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| Phone |
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| Fax |
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| Country* |
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| Type of Program
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Activity date*
(MM/DD/YYYY)
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| Estimated Total* $(USD) |
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| Activity Name &
Description
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| Target Audience*
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| Featured Citixsys Products*
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| Goals & Objectives* (i.e., Metrics for Success-end user lead
generation)
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| Additional Details
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| Program Evaluation
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| To be filled out and returned with final reimbursement request.
Please include as much information as possible about the program for future
program consideration.
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| How many leads were generated by the program?
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| Number of Qualified leads
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| Did activity result in sales?
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| If yes, OR number and which CitiXsys Products?
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| Ideas and/or suggestions for improving the
return-on-investment(ROI) of this program
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| Additional comments
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Note: Please complete the following form and send to CitiXsys
forty-five(45) days prior to the proposed program start date. Please
include all required information. Approval or disapproval of MDF requests will
be made by CitiXsys in its sole discretion. If approved, a signed copy
will be returned to you. When the pre-approved program is complete, submit a
copy of this approval form along with your invoice and return-on-investment
calculations to CitiXsys. For reimbursement processing, claims must be
submitted to Citixsys within forty-five(45) days after the project is
completed.
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