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First Name*		Last Name*
Email*		Position
Company*		Tel No.*
Address		Town/City
Postcode*		Web Address

*are required fields

Do you currently run an e-marketing strategy?*
Yes
No

Do you own your own data list?*
Yes
No
If yes, approximately how many e-mail addresses does the list house?

Would you like to build your own permission based e-data list by way
of interacting directly with your potential customers?*
Yes
No

Would you like a free trial to determine the effectiveness of
e-marketing using the Eperfect?*
Yes
No
(by selecting yes, you are consenting to be contacted by way of e-mail, telephone or letter with information pertaining to this and e-marketing)

Terms and Conditions
i) GGMR Ltd are offering NEW customers a Free, managed e-send, with full reporting to 20,000 of your datalist.
ii) Data must be supplied by yourselves and be demonstrably permission-based data
iii) File size applies.
iv) GGMR Ltd to determine date and time of send
v) The eshot creative must point back to your own website
vi) This offer is limited only to the first 50 respondents who complete the online registration form
vii) For further information on the E-Perfect application visit www.e-perfectonline.co.uk