TCIndex: Reseller Order Form

Unless we have a different arrangement with you, the cost is $459 for the online survey. This includes setting up your church for online participation, instructions for participation, and final report generation. The final report is generated in a PowerPoint format, and is designed to be printed in color, double-sided. Additional options includes: paper surveys ($3/each – minimum of $60), printed and bound final report ($80/each includes shipping), and follow-up coaching or debrief from a TAG consultant (based on hourly rates as outlined in our reseller agreement). Customer service is billed at $83/hour and tech support is billed at $193 hour. Reseller is responsible for any support that TAG provides to Reseller's client.

Fifteen minutes of non-technical customer support is included during the survey process, in addition to standard administration, instructions for participation, and report generation. Additional non-technical customer support is billed at a rate of $83/hour in 15 minute increments. Technical support and developed is billed at a rate of $193/hour. Support rates are subject to change with written notice.

* Your Name

* Reseller Company

* Your E-mail

* Church Name

Denomination

* Church Address

* City

* State

* Zip Code

* Church Contact Person

* Church Contact's E-mail

* Phone

When would you like to start the survey? We will give you an end date (approximately 4-5 weeks after your start date).
Start Date:

What does TAG need to know about this church?

(Provide your best estimates)

What is the church's membership size?

What was it five years ago?

What is the church's average worship attendance?

What was it five years ago?

What percentage of the membership would you say are actively involved in ministry, either inside or outside the church?

Percentage:

Check any of the following options that you would like to purchase from TAG:
	In addition to electronic delivery of the final report, my client would like TAG to print and mail us a final copy for $80.
	This client would like a coaching debrief with a TAG consultant after receiving the report.
	This client may use paper surveys. Please send me a master copy of the paper survey. I understand that we will be invoiced for paper surveys returned to TAG.
	This client would like to add custom questions to the survey (up to 10) at a cost of $40 per question.

Onsite Assessment

Onsite Strategic Planning

Demographic Study for Client

	Desired Radius in Miles:
	Cross-street #1:
	Cross-street #2: