Citi Never Sleeps^®

1. Your Contact Information

*First Name:

*Last Name:

*Job Title:

*Company:

*Phone:

*Email:

2. Program Information

*Program Type:

- Choose - Payroll Employee Reward Sales/Channel Incentive Direct Selling/MLM Wellness/Benefits Reward Consumer Promotion/Rebate/Refer-A-Friend Fuel Card Claims Public Sector/Government Disbursements Higher Education

*Participants:

- Choose - Less than 1,000 1,000 to 5,000 5,001 to 10,000 10,001 to 25,000 25,001 to 50,000 Greater than 50,000

*Objectives:

Financial Reduce costs/personnel resources Increase sales/revenues Increase direct deposit Operational Increase operational efficiencies Increase tracking/reporting capabilities Ease program management Reduce risk Reduce fraud/stolen checks/reconciliation "Green"/paperless initiative Employee-focused Increase program participation Increase employee satisfaction Motivate employees/sales network Provide new employee benefit Customer-focused Increase customer acquisition/loyalty Other Select all that apply. Hold CRTL (PC) or CMD (Mac) to select more than one.

3. Additional information

Have a Program:

Yes, we have provider      No, this will be our first

Message:

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