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* 1. Name:

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* 2. Job Title:

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* 3. Organization:

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* 4. Email Address:

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* 5. What is your annual capital program size (in dollars $)?

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* 6. Please select the e-Builder Enterprise modules your organization currently uses:

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* 7. Please list any tools/software that integrate with your e-Builder Enterprise account (i.e. Lawson, GIS, etc.):

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* 8. Please include any other unique or custom development that was implemented into your e-Builder Enterprise account:

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* 9. Please list any quantifiable results you've received with e-Builder (i.e. We've saved xx days on payment processing, we've saved xx dollars on our overall capital program spend):

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* 10. Please select all Customer Loyalty Program activities that you would like to participate in:

Please note that by joining the Customer Loyalty Program you are agreeing to be a reference on behalf of e-Builder, and participate in any additional Customer Loyalty Program opportunities that you select in this submission form. Your organization has the right to revoke e-Builder’s use of this material outside of e-Builder at any time by simply requesting the removal of content in writing. 

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