Please fill out the form below to receive additional information about ICS Courier.

     Company Name
     Address1
     Address2
     City
     Province
     Postal Code
     Contact Name
     Telephone Number -
     Fax Number -
     Email
   

      Which of the following best describes your job title?
            Receptionist
            Owner
            Administrative Assistant
             Mailroom Employee
             Mailroom Manager
            Office Manager
                Other  

      Which of the following best describes the industry your company belongs to?
 Insurance
 Legal
 Government
 Financial
 Optical 		 Dental
 Travel
 Hearing Aid
 Pharmaceutical
      Other

      How many courier shipments do you send on daily basis?
 0 - 10
 10 - 20
 20 - 50

  50 - 100
 100 - more
     What current courier company do you use for your shipments?
            UPS
            Federal Express 
            Canada Post 
            Priority Courier 
            Purolator  

     Which of the following best describes the type of shipments you send on daily basis?
            Documents
            Mainly Packages & Some Documents
            Equal Amount of Packages and Documents 
            Packages
            Mainly Documents, Some Packages
                Other  

     What do you currently spend on courier services per month?  
 0 - 100
 101 - 250
 250 - 500		  500 -1000
 1000 - 1500
 1500 - more

     How many employees do you currently have employed?
 1 - 5
 6 - 10
 11 - 20		  21 - 50
 50 - 99
 100 +

      Do you want an ICS representative to visit you? 
             YES                                     NO  

      Do you want further information to be sent to you (ex. brochure, pricing etc.) 
            YES                                      NO