USB Memeber Benefits & Potential Benefits Survey

We are proud to have you as a member of the largest small business association in our state. Please take a moment to complete this brief survey so you can better understand the products and services we offer currently, and we can find out which are most important to you and your business. Additionally, we would like to know which additional products and services you want us to add for the benefit of you and your business.

I. Current USB member products and services

Product/Service Use	I Will Probably Use	I Will Probably Not Use
State-Mandated CA Posters	[ ]	[ ]
State-Mandated CA Injury and Illness Prevention Book	[ ]	[ ]
Credit Restoration	[ ]	[ ]
Theft protection Service	[ ]	[ ]
Public relations	[ ]	[ ]
Graphic Design	[ ]	[ ]
Marketing Communications	[ ]	[ ]
Web Design	[ ]	[ ]
Discount Telephone Services	[ ]	[ ]
Affordable Health Care	[ ]	[ ]

II. Potential USB member products and services

Potential Products/Services	Would Definitely Use	Might Use	Would Not Use
Loans for Education	[ ]	[ ]	[ ]
Legal Services	[ ]	[ ]	[ ]
Collection Services	[ ]	[ ]	[ ]
Retirement Plans	[ ]	[ ]	[ ]
Jumbo CD's	[ ]	[ ]	[ ]
Office Supplies	[ ]	[ ]	[ ]
Business Credit Cards	[ ]	[ ]	[ ]
Vehicle Leasing	[ ]	[ ]	[ ]
Discount or Overnight Services	[ ]	[ ]	[ ]
Rebates on Computer Shipments	[ ]	[ ]	[ ]
Discount Prescription Drug Program	[ ]	[ ]	[ ]

Company  *
Name  *
Address
City, ST  *	,	* AL AR AZ CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MO MS MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY	Zip code  *
E-Mail:
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Comments:                         .

Phone (877)535-4    USB fax (877)722-4USB
email USB1@sbcglobal.net