Welcome Guest
There are two options to list your products in the 2010 Buyer’s Guide,
Basic
and
Premium
.
Basic listing
– $200. Includes your company name, address, and phone number, and two product category listings.
Premium listing
– $600. Includes your company name, address, and phone number, one product category listing, color logo and product specifications. List additional products for $200 each.
To learn about other sponsorship options, contact James Daggett at
jdaggett@sbmedia.com
or 631-775-0440.
Please complete this form to be included in the 2010 TechConnect Buyers Guide
Company Information
Company:
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP/Postal Code:
Administrative Information (will not be published)
Administrative Contact:
Administrative Contact Phone:
Enter phone number using dashes “-“, ex. xxx-xxx-xxxx
Administrative Contact Email:
Product Information
Product Name:
Web Site:
Sales Contact:
Sales Contact Phone:
Enter phone number using dashes “-“, ex. xxx-xxx-xxxx
Sales Contact Email:
Check Boxes To Choose Categories
Agency and Business Software/Services:
Accounting/Financial
Actuarial
Advanced Marketing Software
Agency Management
Application Development
Billing
Business Intelligence/Predictive Analytics
Business Process Management
Call Center/IVR/CVR
Claims
Compliance/Regulatory
Consulting
Contact Management
Customer Relationship Management
Disaster Recovery
Enterprise Content Management
Enterprise Risk Management
Electronic Signatures
Fraud
Loss Valuation
Outsourcing – BPO
Outsourcing – ITO
Point of Sale
Project Management
Rating
Reinsurance
Sales Force Automation/Illustration
Security
Subrogation
Underwriting
Wireless/Mobile
Document, Data and Content Management:
Data Mining
Data Warehousing
Document Imaging & Printing
Document Management & Forms Processing
EDI
Workflow Management
Internet, Middleware, Portals:
E-Commerce
Exchanges & Portals
Legacy Integration
Online Quoting/Rating
COMPLETE THE INFORMATION BELOW FOR A PREMIUM LISTING
Product Details
Policy Administration:
Policy Administration—Life and Health
Policy Administration – P&C
Policy Administration – Workers’ Comp
Server Compatibility (choose all that apply):
Windows
UNIX
Oracle
Client Compatibility (choose all that apply):
Windows
Linux
Browser based
Available as a .Net model?:
Yes
No
Platform and System Requirements (choose all that apply):
ACORD Compliant
Microsoft
Unix
Is your product targeted to:
Life and Health
Property and Casualty
Both
Is your product designed for use by:
Agencies
Carriers
Both
Training::
Provided by vendor and included in price
Provided by vendor at an additional charge
No additional training needed
Typical implementation timetable:
Please enter a 25 word description of your product or service.: