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You have requested that an LCD Specialist contact youon how to best use the marketing, the price, and how to get 10-20 patients this month, etc. We are anxious to call you to answer these questions, but we realize that your time is important. We do not want to interrupt your day while you are with patients nor do we have much time to spend calling over and over.

Please help us help you by answering the below questions so we can schedule a conference call. It will save time and expedite your decision.
 
Fields marked with 'Mandatory' are mandatory 
First Name : Mandatory
Last Name : Mandatory
Phone Number : Mandatory
Email Address : Mandatory
Best Time to Call : Mandatory
2nd Choice : Mandatory
Time Zone : Mandatory
Date of Call :  "Thursday 6/22/06"
Specific Question : Mandatory
How many offices do you operate? Mandatory
How many doctors are in your Clinic? Mandatory
Brand of decompression table you have now? Mandatory
If you have a decompression table now,
how many patients do you see on average a month?		 Mandatory
How many decompression patients would you
like to see a month?		 Mandatory
How long have you owned your table? Mandatory
Who was your table purchased from? Mandatory
Contact name and phone number of your dealer : Mandatory
What is good and what is bad about your current
marketing strategy?		 Mandatory

About how much do you spend a month now
towards marketing?

 Mandatory
 

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