AUTOMATE APPOINTMENTS Question Title * 1. What day would you like to schedule an appointment at AUTOMATE with us? Monday Tuesday Wednesday Thursday Question Title * 2. What time would you like to schedule an appointment or times you are available to meet? 10:00 10:30 11:00 11:30 12:30 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 Other (please specify) Question Title * 3. Do you have a certain sales person you would like to meet with? Or are you open to meeting with anyone? Who would you like to meet with? Yes No Sales person's name Question Title * 4. Do you have a certain HELUKABEL product or products you would like to discuss? If so, what product? Yes No Product or Products you would like to know more about? Question Title * 5. What is your information so we may confirm your appointment? Name Company State/Province Email Address Phone Number Done