1.	First name*

2.	Last name*

3.	Job Title*

4.	Company*

5.	Address*

6.	City*

7.	State/Region*

8.	Zip/Postal Code*

9.	Country*

10.	E-mail address*

11.	Telephone*

12.	Are you currently evaluating your credit processing system?
	Yes  No

13.	What is the average number of applications you process per month?
	--No selection--0-25002500-50005001-1000010001-2500025001-5000050001-100000100001-250000250001-500000over 500000

14.	By checking "I agree" I represent and warrant that all personal data submitted is accurate and I (i) authorize CRIF GROUP companies to store my personal data, and (ii) agree that such data may be used by CRIF GROUP companies for its internal business purposes, including contacting me and sending me important messages about MAGNUM.*
	I agree.

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