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Please fill out the following form to help Pipeline determine the best way to help you leverage your communications efforts into business results. Once completed, Pipeline will provide a brief consultation by e-mail or phone - free - based upon your answers.

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Title:	Name:
Email Address:	Name of Business:
Website Address:	Phone Number:
Brief Description of your Business
Are you Currently Using Social Media? Yes No	What Are You Currently Using? (Check All That Apply) Blogging (on your properties) Facebook LinkedIn Twitter YouTube Other
Are You Measuring The Impact You'rre Currently Making Socially?	What Teams Internally Are Currently Involved in the Social Process? (Check All That Apply) Marketing/Communications PR Human Resources Legal IT Management/Executives
Which is Currently Your TOP Social Need?