2013 Supply & Demand Chain Executive 100 Demographics Question Title * 1. Contact Information: This is the person filling out the form or responsible for answering questions about the submitted information Contact Name: Phone Number: e-mail Address: Question Title * 2. Enabler Information: This is the company that is providing the software, solution or service to be described below. Company Name: Worldwide Headquarters (city, state/country): Company Web Site: Question Title * 3. Customer/Client Information: This is the company where the supply chain project took place. If, for reasons of confidentiality, you wish to provide a case study, but do not wish to use customer names, please provide descriptors in place of the customer names (e.g., Fortune 500 retailer, Global 2000 electronics manufacturer, leading finacial services firm, etc.) Company Name: Worldwide Headquarters (city/state/country) Company's primary industry (e.g., automotive, aerospace, CPG, healthcare etc.) Geographic location where the project took place (city, state, country or region) Brief description of project type (1-4 words, e.g., forecasting solution implementation, WMS implementation, TMS, supply chain network redesign) Primary function leading the project at the company (eg., procurement, IT, logistics, supply chain) Question Title * 4. Company size: Please indicate the size (based on revenues) of the customer/client listed above (check one); Small (annual revenues up to $50 million) Medium (annual revenues from $50 million to $1 billion) Large (annual revenues over $1 billion) Private company, does not report revenues Next