CUSTOMER CONTACT AND PROFILE ATTACHMENT B – PAGE 1 OF 2 Customer Contract and Registration Attachment B Please complete both pages of this Attachment B and email/post/fax a copy of it, two copies of the signed Interpreter Services Agreement and two copies of Attachment A to LanguageLine Solutions, Attn: Client Services Email: customersupport@languageline.co.uk Fax: 0800 783 2443 Address: 25th Floor, 40 Bank Street, London, E14 5NR PARENT COMPANY ORGANISATION NAME/LOCATION FOR THIS ACCOUNT (If different than parent company for example ABC Bank, Coventry Branch) MAIN CONTACT Name Position Telephone Fax E-Mail Address City County BILLING CONTACT Postal Code same as operations contact Name Position Telephone Fax E-Mail Address City County TRAINING CONTACT Postal Code same as billing contact Name Position Telephone Fax same as operations contact E-Mail Address City County PUBLIC RELATIONS CONTACT Internal PR Contact Postal Code same as billing contact Name PR Firm Company Telephone same as operations contact Title Fax E-Mail Address City County Postal Code Customer Contact and Registration Profile Attachment B - Page 2 of 2 LL01-13-150 LanguageLine Solutions – 15.01.13 25th Floor, 40 Bank Street, London, E14 5NR www.languageline.co.uk The following information is requested to create a customer profile of your organisation. Under your industry, please check all activities that best describe your operations requiring language interpretation. The profile information is very important and will be used to better serve your interpretation needs. All the information that you provide is kept strictly confidential. FINANCIAL Bank Branch & Telephone Banking Online/Interactive Banking Collections Consumer Credit Auto Finance Credit Card Mortgage/Home Equity Personal Loans/Credit Fraud/Loss/Stolen Personal Investment (retirement, annuities) Telesales Technical Support Trust/Asset (benefit/retirement plan) Other: GOVERNMENT Criminal Justice DWP Immigration Public Safety Local Authorities Inland Revenue Other: EMERGENCY SERVICES Police Ambulance Service Fire Service INSURANCE Claims Handling Commercial Property/Auto Group Health Group Life Homeowner Personal Auto Personal Health Personal Life Worker’s Compensation Customer Service Sales Underwriting Other: MANUFACTURING Consumer Market Research Product Registration Purchase/Resale of Equipment Sales Call Technical/Product Support Technician Telemarketing/Catalog Warranties/Service Calls Other: HEALTH CARE Appointments Call Center Primary Care Trust Acute Trust General Practice Information Surveys Professional Consultation Other: PUBLIC UTILITIES Billing/Collections Customer Service Telemarketing Other: TELECOMMUNICATIONS Billing (credit/collections, etc.) Card Service (phone, calling card, credit card) Customer Service (post-sales activities) Fraud (fraudulent or annoyance investigation) Operator Service Repair Sales (sales support, activation) Technical Support Telemarketing Other: TRANSPORTATION/TRAVEL/HOSPITALITY Customer Service Operations Reservation Other: MISCELLANEOUS Consulting Entertainment Legal Property Retail Other: The number of employees who will be trained to use the interpreter service (estimated): Standard Industry Classification (SIC Code), if known: If applicable please include a copy of your Purchase Order. Where did you hear about LanguageLine Solutions? Your prompt return of this form and the signed Service Agreement (if applicable) will ensure a speedy activation of your account. Thank You. If you have questions about this form: LL01-13-150 E-mail: customersupport@languageline.co.uk Phone: 0800 169 2879 Fax: 0800 783 2443 LanguageLine Solutions – 15.01.13 25th Floor, 40 Bank Street, London, E14 5NR www.languageline.co.uk