Expression of interest: Consulting projects


Please complete this form in order to obtain a quotation for our consulting services.

Please provide the following contact information:

Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

Please indicate the nature of your project(s)?


Please indicate how many hours of work do you think will be required?


Please indicate by when the project must be completed:

-- dd/mm/yy

When do you anticipate being ready to commence the project(s) :

-- dd/mm/yy

Please indicate your preferred currency for quotation purposes:



Copyright Structure Reinsurance Management Strategies (Pty) Ltd. All rights reserved.
Revised: 04/16/06