Privacy Information

The information collected is held in strict confidence and only the recipients involved in the assessment will have access to it. The questionnaire takes less than three minutes to complete however the quality of the assessment will depend on the quality of information provided. Please answer all questions that are relevant to your business. When it is completed simply submit the questionnaire and Yellow billing will be in contact as soon as the assessment is completed. Thank you for your enquiry.

Questionnaire

Should you wish to complete this questionnaire off-line, please click here to download an offline version of this form.

Title:	---Assoc. ProfDrMissMrMrsMsProf
First Name:
Last Name:
Email:
Phone:
Mobile:
Fax:
Company Name:
Position:
What services do you presently supply?	Voice Mobile VOIP ADSL Other (Please fill out below).
How many accounts do you have that require billing?	---0 to 9991,000 to 4,9995,000 to 9,99910,000 plus
What is your current billing cycle?	Monthly Fortnightly Other (please fill out below)
What is your billing revenue per month?	$0 to $99,999 $100,000 to $299,999 $300,000 to $599,999 $600,000 to $999,999 $1,000,000 plus
Who are your current wholesale telecommunications provider? (Please check all that apply.)	Unitel / M2 AAPT Optus Telstra Powertel Other (please fill out below)
Who is your current billing company?	---Billing BureauSelectUtilibillOther
What problems are you experiencing with billing?	1. 2. 3.
Who other than yourself will be involved in the final decision to change to Yellow Billing?

Security Code:
Confirm Code: