Project Description Screen

Note:

The information submitted on this screen will immediately be sent to ECC Corp Authorized Sales
Representative to address your consulting needs as soon as possible.

Thank you, ECC Corp Management

Please enter your software-related business needs and/or problems in this screen. Your disclosure to us
is kept completely confidential (Privacy Policy). We will contact you to discuss your business needs
as soon as possible.


Requestor Information
Today's Date:
Company Name*:
First Name*:
Last Name*:
E-Mail Address*:
To be contacted by ECC Corp Sales Associate:	Jerry Ruva Computer Palace
Phone Number (xxx-xxx-xxxx Ext xxxx)*:
Technologies:
Consulting Services:
IBM Technologies:
Consulting Location(s):
Additional Information or Comments:


* Required Fields