Custom Database Quote Request

This quote requested by:

Name:	Job Title:
Phone Number:	Email:
Company Name:
Address:
Who makes the final decision on this quote?
Name:	Job Title:
Email:

Industry Specification (check all that apply)

Pipeline Refining Gas Processing

Petrochemical Drilling Well Servicing

Liquid Terminals Electric Utility Gas Utility

Underground Natural Gas Storage

Exploration and Production

Offshore International (Outside US & Canada)

Geographic Target Regions (Required)

Worldwide US Canada Other

Specific Countries or States:

Company Information Needed
Name	Physical Address	Mailing Address
General Phone	General Fax	General Email
Website	Financials	None
Specific Type of Company Information Requested:
Maximum number of companies: Maximum number of contacts: Include facilities/offices which do not have contacts. Include contacts which do not have email addresses. Include company financials?

Use of information

Bulk Email	Physical Mailing	Database
What is your target date for mailing?
How will you follow-up on leads?

Phone

Mail

In Person

Facility Categories
Plants	Headquarters	Field Offices
Refineries	Terminals	Business Offices

(Pipeline Only)
Pump Stations	Compressor Stations

Individual Contact Information Needed
Name	Title	Direct Email
Direct Phone	Direct Fax	Cell

Titles of Contacts to Include
Chairman	CEO	President
CFO	COO	CAO
Controller	Landman	GM
Bus Devel	Marketing	Sales
Maintenance	Operations	IT
Foreman	Engineer	Geologist
Health	Environmental	Safety
HR	Office Support	Quality
Purchasing	Financial	Administration
Levels
EVP	SVP	VP
Dept Director	Manager	Supervisor
Specific Target Contacts

Service & Product Suppliers

Include Engineers Contractors and Service Companies?

Include Equipment Manufacturers and Suppliers?

Include Trade Associations and Regulatory Agencies?

Midwest Publishing

The leading Global Online Energy Directories

800-829-2002 (US)
918-582-2000 (Int'l)

About MWP