Name:

Company:

E-mail address:

Phone number:

Fax number:

Address:

City / State / Zip:

Country:

What services are you interested in?

Website Redesign
Localized Websites
Intranet/Extranet Support Systems

Do you have a website?
Yes
No

If yes, then what is the address?

Are you offering a franchise program?
Yes
No

If so, how many units do you currently have?

Are you offering a non-franchised business opportunity program?
Yes
No

Are you offering a network marketing opportunity?
Yes
No

Do you offer services to franchise and business opportunity companies or their affiliates?
Yes
No

How did you find out about IFX Online?
(Check all that apply)
Search Engine
A Friend
A Business Associate
Entrepreneur -- Month
Success -- Month
Franchise Times -- Month
Wall Street Journal
Business Opportunities Journal
Franchise & Business Opportunity Expo
Other :

Please type in a short description of your company and any additional comments in the space below:

Please complete all of the information above. All information will be maintained in confidence by IFX International, Inc. and will not be sold or otherwise provided to third parties.