1. Direct Client / Client’s Agent / Client’s Consultant (Please select one): *

2. Direct Client/Agent/Consultant Name – Legal entity who will sign contract *

3. Direct Client/Agent Address Details and telephone numbers *

4. Direct Client/Agent Web Page

5. Group Name (If part of group)

6. Group Web Page

7. Agent or Direct Client Name and Designation *

8. Agent or Direct Client Contact Email *

9. Plant Location *

1. Project Name *

2. New/Refurbishment *

3. Greenfield / Brownfield / Redfield (Please select one) *

4. Brief description of proposed project (Attach separate sheet if needed)

5. RgCON Scope of Work (Attach scope / responsibility matrix if available)

1. What stage of the project is this?

1. What is the project timeline? i.e., when will furnace start production?

2. How will the project be financed or has funding been approved?

3. Where did you find out about RgCON Services (website, conference, business contact, etc.) *

Questionary

A. CLIENT INFORMATION