Prospective Customers - T.E.A.M. - Total Employment Assistance & Management, Inc.

To get started with T.E.A.M. EAP all you need to do is complete the following brief questionnaire and send it to T.E.A.M. A T.E.A.M. Business Development associate will contact you shortly thereafter. We look forward to hearing from you!

* Denotes a required field

* Company/Organization:
* City:
* State/Province:
* Country:

* Name of Contact Person:
* Title:
* E-mail Address:
* Telephone Number:
Fax Number:

* No. of Employees at Your Company:
* Number of Locations:
* Do you currently have an EAP?		Yes No

Comments/Questions: If you have problems completing, or questions about, this form, please contact T.E.A.M.'s Business Development Department at (866)648-TEAM (8326).