Productivity Enhancement Program (PEP) Business Host Information *This information is for internal use only. We do not share information with anyone outside of CCI.   CONTACT INFORMATION Business Name   CCI materials for presentation should be sent to: Prefix (Mr., Ms., Dr., Rev., Hon., etc.) First Name Last Name Suffix (Jr., Sr., III, IV, M.D., Ph.D., etc.) Title Mailing Address City         State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip Phone Fax E-Mail Web COMPANY INFORMATION Year Started Number of Employees Annual Gross Sales Type of Ownership Corporation Partnership Sole Proprietorship Other Have you hosted before? Yes No From where? Product or Service Lines Who are your major clients? Who will be giving your presentation?   Presenter Name Presenter Title 1 2 3 4 Topic(s) of presentation Date, if confirmed January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 , 2004 2005 2006 2007 2008 Start Time 01 02 03 04 05 06 07 08 09 10 11 12 : 00 15 30 45 AM PM         End Time 01 02 03 04 05 06 07 08 09 10 11 12 : 00 15 30 45 AM PM     Can you provide meeting space for the delegation for one hour after the presentation?   Yes No     Can you provide lunch for the delegation?   Yes No   COMPANY PROFILE/SUMMARY   Please provide a brief description of your organization's market niche, strengths, challenges, goals, geographical reach, etc.