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<title>Salary / Compensation Practicioner Information Request Form - Clayton Wallis Co.</title>
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<IMG SRC="hdrcwc2.gif" border=0 alt="[The Clayton Wallis Company]"><br>
<IMG SRC="hdrippr.gif" border=0 alt="[Internal Practitioner Product Information Request Form]"><br>
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<INPUT TYPE=hidden NAME="recipient" VALUE="consult@claytonwallis.com">
<INPUT TYPE=hidden NAME="subject" VALUE="Information Request">
<INPUT TYPE=hidden NAME="return_link_title" VALUE="Back to Mail Submit">
<INPUT TYPE=hidden NAME="required" VALUE="Name,email,Title/Job Level,Functional Area,Organization,Department,Address Line 1,City,State,Zip,Voice,FAX,Industry,Organization Size,Department Size,Products Of Interest,Agree With Non Disclosure Statement">
<INPUT TYPE=hidden NAME="sort" VALUE="order:Name,email,Title/Job Level,Functional Area,
Project Description,Organization,weburl,Department,Industry,Address Line 1, City,State,Zip,Country,Voice,FAX,Organization Size,Department Size,Message/Comments,HowFoundCW,Other Comp Software,Other Product Satisfaction,Products Of Interest,Interest Basis,Interest Explanation,Project Description,Specific Needs,Send Password,Agree With Non Disclosure Statement,emaillist">
<INPUT TYPE=hidden NAME="return_link_title" VALUE="Your Information Request Has Been Received! Click here to Continue...">
<INPUT TYPE=hidden NAME="return_link_url" VALUE="http://www.compensation-online.com/indexf.html">
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<TD bgcolor="#008080" align=left>
<FONT COLOR="FFFFFF" size=-1><b>Requestor Information</b><b>(<i>required</i>)</b>:</FONT> </TD></TR>
<TR>
<TD bgcolor="CCFFCC" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>Please enter your full name:</b></FONT><br>
<input type="text" name="Name" size=50,1 maxlength=70>
</TD></TR>
<TR><TD bgcolor="FFFFE0" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><B>Full e-mail address:</b></FONT><br>
<input type="text" name="email" size=45,1 maxlength=70><br>
<FONT COLOR="#008080" size=-1><b>[for example, myname@mycompany.com]</b></FONT><br>
</TD></TR>
<TR><TD bgcolor="CCFFCC" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><B>Organization Web Site Address:</b></FONT><br>
<input type="text" name="weburl" size=45,1 maxlength=70><br>
<FONT COLOR="#008080" size=-1><b>[for example, www.mycompany.com]</b></FONT><br>
</TD>
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<a href="#topofpage"><IMG SRC="arwl.gif" border=0 alt="[Previous Section]"></a>
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<TD colspan=2 bgcolor="#008080" align=left>
<FONT COLOR="FFFFFF" size=-1><b>Organization Information</b><b>(<i>required</i>)</b>:</FONT> </TD></TR>
<TR><TD bgcolor="CCFFCC" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>Title/Job Level:</b></FONT>
<FONT size=-1>
<select size =4 NAME="Title/Job Level"><br>
<OPTION>--- Internal Practitioner Section ----
<OPTION>Vice President
<OPTION>Director
<OPTION>Manager
<OPTION>Senior Internal Consultant
<OPTION>Internal Consultant
<OPTION>Senior Specialist
<OPTION>Specialist
<OPTION>Senior Analyst
<OPTION>Analyst
<OPTION>Other Internal (specifiy in comments)
<OPTION>--- External Consultant Section ----
<OPTION>President/Owner Consulting Firm
<OPTION>Vice President Consulting Firm
<OPTION>Managing Consultant
<OPTION>Partner
<OPTION>Principal Consultant
<OPTION>Senior Consultant
<OPTION>Consultant
<OPTION>Senior Analyst
<OPTION>Analyst
<OPTION>Other External (specifiy in comments)
</SELECT></FONT>
</TD>
<TD bgcolor="FFFFE0" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>Functional Area:</b></FONT>
<FONT size=-1>
<select size =4 multiple NAME="Functional Area"><br>
<OPTION>Compensation
<OPTION>Compensation and Benefits
<OPTION>Benefits
<OPTION>HRIS/HRMS
<OPTION>Human Resources/Personnel Planning
<OPTION>Human Resources/Personnel Generalist
<OPTION>Organizational Development
<OPTION>Recruitment
<OPTION>Finance
<OPTION>Other (specifiy in comments)
</SELECT><br></FONT>
</TD></TR>
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<TD bgcolor="CCFFFCC" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>Department:<b></FONT><br>
<input type="text" name="Department" size=56,1 maxlength=70>
</TD><TD></TD></TR>
<TR>
<TD bgcolor="FFFFE0" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>Organization:<b></FONT><br>
<input type="text" name="Organization" size=56,1 maxlength=70>
</TD>
<TD width=20% valign=bottom halign=left>
<a href="#cwmailtop"><IMG SRC="arwl.gif" border=0 alt="[Previous Section]"></a>
<a href="#address"><IMG SRC="arwr.gif" border=0 alt="[Next Section]"></a>
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<a name="address"></a><TABLE CELLSPACING=5 CELLPADDING=5 BORDER=0>
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<TD bgcolor="#008080" align=left>
<FONT COLOR="FFFFFF" size=-1><b>Address/Contact Information</b><b>(<i>required</i>)</b>:</FONT> </TD></TR>
<TR>
<TD bgcolor="CCFFCC" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>Business Address:</FONT><br>
<input type="text" name="Address Line 1" size=60,1 maxlength=70><br>
<input type="text" name="Address Line 2" size=60,1 maxlength=70>
</TD></TR>
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<TABLE CELLSPACING=5 CELLPADDING=5 BORDER=0>
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<TD bgcolor="FFFFE0" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>City:</FONT><br> <input type="text" name="City" size=25,1 maxlength=30></TD>
<TD bgcolor="FFFFE0" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>State:</FONT><br> <input type="text" name="State" size=7,1 maxlength=3></TD>
<TD bgcolor="FFFFE0" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b> Zip:</FONT><br> <input type="text" name="Zip" size=10,1 maxlength=10></TD>
<TD bgcolor="FFFFE0" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>Country:</FONT><br> <input type="text" name="Country" size=10,1 maxlength=18></B>
</TD></TR>
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<TABLE CELLSPACING=5 CELLPADDING=5 BORDER=0>
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<TD bgcolor="CCFFCC" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>Voice:</FONT><br> <input type="text" name="Voice" size=12,1 maxlength=18></TD>
<TD bgcolor="CCFFCC" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>FAX:</FONT><br> <input type="text" name="FAX" size=12,1 maxlength=18>
</TD>
<TD width=20% valign=bottom halign=left>
<a href="#orginfo"><IMG SRC="arwl.gif" border=0 alt="[Previous Section]"></a>
<a href="#orgcat"><IMG SRC="arwr.gif" border=0 alt="[Next Section]"></a>
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<TD colspan=3 bgcolor="#008080" align=left>
<FONT COLOR="FFFFFF" size=-1><b>Organization Category/Size</b><b>(<i>required</i>)</b>:</FONT> </TD></TR>
<TR>
<TD width=25% bgcolor="FFFFE0" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>Business/Industry:</b></FONT><br>
<FONT size=-1>
<select size =5 multiple name="Industry">
<OPTION>Manufacturing
<OPTION>Health Care
<OPTION>Financial Services
<OPTION>Information Technology
<OPTION>Computer Software
<OPTION>Computer Hardware
<OPTION>Banking
<OPTION>Insurance
<OPTION>Real Estate
<OPTION>Wholesale/Retail Trade
<OPTION>Government
<OPTION>Education
<OPTION>Transportation
<OPTION>Communications
<OPTION>Utilities
<OPTION>Construction
<OPTION>Gas/Oil/Mining
<OPTION>Agriculture/Forestry
<OPTION>Business Services
<OPTION>Management Consulting
<OPTION>Other
</SELECT></FONT></TD>
<TD width=20% bgcolor="CCFFCC" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>Organization Size:</b></FONT><br>
<FONT size=-1>
<SELECT size=5 NAME="Organization Size">
<OPTION>Less than 10
<OPTION>10-50
<OPTION>50-500
<OPTION>500-1,500
<OPTION>1,500-5,000
<OPTION>5,000 or more
</SELECT></FONT>
</TD>
<TD width=20% bgcolor="FFFFE0" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>Department Size:</b></FONT><br>
<FONT size=-1>
<SELECT size =5 NAME="Department Size">
<OPTION>Less than 3
<OPTION>4-7
<OPTION>8-14
<OPTION>15-25
<OPTION>25 or more
<OPTION>5,000 or more
</SELECT></FONT>
</TD>
</TR>
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<TABLE CELLSPACING=5 CELLPADDING=5 BORDER=0>
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<TD width=25% bgcolor="CCFFCC" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>Project Description(<i>optional</i>):</b></FONT><br>
<textarea name="Project Description" rows=2 cols=56></textarea></TD>
<TD width=25% valign=bottom halign=left>
<a href="#address"><IMG SRC="arwl.gif" border=0 alt="[Previous Section]"></a>
<a href="#comments"><IMG SRC="arwr.gif" border=0 alt="[Next Section]"></a>
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<a name="comments"></a>
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<TD bgcolor="#008080" align=left>
<FONT COLOR="FFFFFF" size=-1><b> Message/Comments/How Did You Find Us?(<i>optional</i>)</b></FONT>
</TD></TR>
<TR>
<TD>
<textarea name="Message/Comments" rows=2 cols=56></textarea>
</TD>
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<TD width=25% bgcolor="FFFFE0" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>Found Via Search Engine?:</b></FONT><br>
<FONT size=-1>
<select size =6 multiple name="HowFoundCW">
<OPTION>- choose link type below -
<OPTION>Alta Vista
<OPTION>AOL Search
<OPTION>Direct Hit
<OPTION>Excite
<OPTION>Google
<OPTION>GoTo.com
<OPTION>HR-Guide
<OPTION>HotBot
<OPTION>InfoSeek
<OPTION>Look Smart
<OPTION>Lycos
<OPTION>MSN Search
<OPTION>Netscape Search
<OPTION>Northern Light
<OPTION>Snap
<OPTION>WebCrawler
<OPTION>Yahoo
<OPTION>Link From..(specifiy in comments)
<OPTION>Other..(specifiy in comments)
</SELECT></FONT>
</TD>
<TD width=25% bgcolor="CCFFCC" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>Found/Other Description:</b></FONT><br>
<textarea name="Project Description" rows=5 cols=25></textarea>
</TD>
<TD valign=bottom halign=left>
<a href="#orgcat"><IMG SRC="arwl.gif" border=0 alt="[Previous Section]"></a>
<a href="#othercomp"><IMG SRC="arwr.gif" border=0 alt="[Next Section]"></a>
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<p>
<a name="othercomp"></a><TABLE CELLSPACING=5 CELLPADDING=5 BORDER=0>
<TR>
<TD colspan=2 bgcolor="#008080" align=left>
<FONT COLOR="FFFFFF" size=-1><b>Other Compensation Software/Systems Installed/Under Evaluation(<i>optional</i>):</b>:</FONT> </TD></TR>
<TR>
<TD bgcolor="CCFFCC" valign="left" halign="top">
<FONT COLOR="008080" size=-1><b>Other Systems Installed/Under Evaluation</b></FONT><br>
<textarea name="Other Comp Software" rows=3 cols=35></textarea>
</TD>
<TD bgcolor="FFFFE0" valign="left" halign="top">
<FONT COLOR="008080" size=-1><b>Level of Satisfaction:</b></FONT><br>
<FONT size=-1>
<select size=4 multiple name="Other Product Satisfaction">
<option>Not Applicable
<option>Beyond Expectations
<option>Does the Job
<option>Short of the Mark
<option>Not Usable
</select></FONT></TD>
</TR>
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<TABLE CELLSPACING=5 CELLPADDING=5 BORDER=0>
<TR>
<TD width=25% bgcolor="CCFFCC" valign="left" halign="top">
<FONT COLOR="#008080" size=-1><b>Your specific needs<i>(optional)</i> :</b></FONT><br>
<textarea name="specific needs" rows=2 cols=56></textarea><P>
<TD width=22% valign=bottom halign=left>
<a href="#comments"><IMG SRC="arwl.gif" border=0 alt="[Previous Section]"></a>
<a href="#products"><IMG SRC="arwr.gif" border=0 alt="[Next Section]"></a>
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<TR>
<TD colspan=2 bgcolor="#008080" align=left>
<FONT COLOR="FFFFFF" size=-1><B>Compensation Software Product(s)/Online Service(s) of Interest(<i>required</i>)</b>:</FONT> </TD></TR>
<TR>
</TD>
<TD bgcolor="FFFFE0" valign="left" halign="top">
<FONT COLOR="008080" size=-1><b>Select Products/Services Of Interest:</b></FONT><br>
<FONT size=-1>
<select size=4 multiple name="Products Of Interest">
<option>CompExec
<option>CompBuilder
<option>CompGeo
<option>CompGeo Online
<option>CompGeo Online Professional
<option>CompGeo Online Library Subscription
<option>OMF Job And Competency Analysis System
<option>Virtual Compensation Consultant
<option>Virtual HRMS Consultant
</select></FONT>
</TD>
<TD bgcolor="FFFFFF" valign="left" halign="top">
<FONT COLOR="008080" size=-1><b>Interest Based On:</b></FONT><p>
<FONT size=-1>
<input type=radio name="Interest Basis" value=Internal checked> Internal Organization Use<br>
<input type=radio name="Interest Basis" value=Other > Other-Specify Below
</FONT>
</TD></TR>
</TABLE>
<TABLE CELLSPACING=5 CELLPADDING=5 BORDER=0>
<TR>
<TD bgcolor="#008080" align=left>
<FONT COLOR="FFFFFF" size=-1><b>Interest Explanation
(<i>required if Interest based on "Other" Reasons</i> ):</b></FONT>
</TD></TR>
<TR>
<TD>
<textarea name="Interest Explanation" rows=2 cols=57></textarea>
</TD>
<TD width=22% valign=bottom halign=left>
<a href="#othercomp"><IMG SRC="arwl.gif" border=0 alt="[Previous Section]"></a>
<a href="#pma"><IMG SRC="arwr.gif" border=0 alt="[Next Section]"></a>
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<TD bgcolor="008080" valign=top halign=center>
<FONT COLOR="FFFFFF" size=-1><b>Proprietary Materials/Non Disclosure Agreement</b><b>(<i>required</i>)</b></FONT>
</TD>
</TR>
<TR>
<TD bgcolor="CCFFCC" ><FONT size=-1>
Requestor certifies that information received will be used for Internal Organization Use Only and that product and pricing information, PDF documents and document passwords will not be distributed to anyone else by any means without the express written consent of The Clayton Wallis Company. </FONT>
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<FONT COLOR="008080" size=-1><b>I agree to Proprietary Materials/Non Disclosure Statement Above:</b>
<input type="radio" name="Agree With Non Disclosure Statement" value="yes" checked>Yes
<input type="radio" name="Agree With Non Disclosure Statement" value="no">No
<br></FONT>
<FONT size=-1><b><i>If response is "NO" we will not be able to process your request.
</i></b>.</FONT></TD></TR>
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<TD bgcolor="FFFFE0" >
<FONT COLOR="008080" size=-1><b>Add me to the site Update e-mail List </b><b>(<i>optional</i>)</b>
<input type="radio" name="emaillist" value="yes" checked>Yes
<input type="radio" name="emaillist" value="no">No <br>
<a name="mailsubmitbutton"></FONT></TD></TR>
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<TD bgcolor="CCFFCC">
<CENTER><FONT size=-1>
<input type="submit" value="Confirm My Request - I Agree To Non Disclosure Conditions"> <input type="reset" value="Reset"></FONT></CENTER>
<FONT COLOR="#008080" size=-1><b>Thank you for your information request!</b></FONT>
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<FONT color="#FFFFFF" size=-1><b> Copyright<br>and<br>Trademarks</B></FONT></CENTER>
</TD>
<TD bgcolor="FFFFE0" align=center>
<FONT COLOR="#5F9EA0" size=-1><b>Copyright © 1995 - 2000 <a href="index.html" target="_top">The Clayton Wallis Company</a>. All Rights Reserved World Wide.</b></FONT><br>
<FONT COLOR="#5F9EA0" size=-1><b>Member, American Compensation Association</b></FONT>
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<FONT COLOR="#008080" size=-2>CompExec is a registered trademark of The Clayton Wallis Company. CompBuilder, CompGeo, CompGeo Online, CompGeo Online Professional, compensation-online, comp-online, comgeopro.net, compgeo.net, OMF Job and Competency Analysis System, VarCompExec, CompExplorer, Virtual Compensation Consultant and Virtual HRMS Consultant are trademarks and/or servicemarks of The Clayton Wallis Company. Redistribution, retransmission, republication or any exploitation of the contents of this site for commercial or non commercial use are expressly prohibited without the written consent of The Clayton Wallis Company.</FONT><br>
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