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CUSTOMER INQUIRY FORM (For all services other than CMM / CMMI)

ORGANIZATION:CONTACT NAME:
CONTACT PHONE:CONTACT FAX:
CONTACT EMAIL:
ORGANIZATION TYPE:
Sole Proprietor Partnership Corporation Government Department/Agency

Description of Processes that will be a part of the proposed registration:

ADDRESS:CITY:
STATE:ZIP:

Include facilities that will be covered under the proposed registration only! Add additional sheets If necessary.
Total Number of Locations: Total Number of Employees:
Site 1:
    # of Employees: Address:
Site 2:
    # of Employees:Address:
Site 3:
    # of Employees:  Address:

STANDARD(S)(choose the standard(s) You want to be compliant/registered to):
ISO 9001           TS 16949   ISO 14001             CE Marking US FDA CGMP’s
Six Sigma/LEAN AS 9100     TL 9000 SA 8000   MBNQA         OHS 18001

If you have requested CE Marking Services, please complete the CE Marking Addendum along with this Form.

SERVICE(S) (Check One or More;Refer to our webSite)
Executive Overview                 Gap Analysis Assessment   ImplementationCourse
Internal Auditor Training            General Consultation         Lead Auditor Training
Documentation Review             Readiness Assessment       EU Directive Research
Six Sigma Executive Overview  LEAN Executive Overview   Design for Experiments
ISO 9001 and Six Sigma          Design for Six Sigma          Strategic Innovation
LEAN for Service Organizations Strategic Alignment            Six Sigma Black Belt
Six Sigma Champion               Six Sigma Green Belt        
Six Sigma Master Black Belt

Quality/Environmental/OHS Management System already Implemented? YES NO
If YES, state which one?:  

Are there any industry/regulatory requirements to which your organization must comply?
YES NO
If yes, which standards?: 
How important is it to you and your organization to have a consultant who resides close to your facility?: 


All of our consultants are certified auditors.    

© 2006 Brand Consulting Group, Inc.