CSBA FEAL Superannuation CX Benchmarking Program

Registration Form

Organisation Name*

Contact Name*

Position*

Email*

Phone*

Mailing Address*

Street Address City State / Province / Region ZIP / Postal Code

Please indicate which program you wish to participate in:*

Member Program
Employer Program
Member and Employer Program

Please indicate your period of registration:*

2 years (2 waves per year)
2 years (1 wave per year)
1 year (2 waves)
1 wave only

Member Program: 2 years with 4 waves

Two waves per year conducted in February and July over two years @ $51,040
100 additional telephone interviews per wave @ $6,900
Additional Question/s (please indicate number of questions required) @ $2,900 per question per wave

Member Program: 2 years with 4 waves

Two waves per year conducted in February and July over two years @ $51,040
100 additional telephone interviews per wave @ $6,900
Additional Question/s (please indicate number of questions required) @ $2,900 per question per wave

Please indicate the wave for the fieldwork:*

February
July

Member Program: 2 years with 1 wave per year

One wave per year for 2 years @ $27,000
100 additional telephone interviews per wave @ $6,900
Additional Question/s (please indicate number of questions required) @ $2,900 per question per wave

Member Program: 2 years with 1 wave per year

One wave per year for 2 years @ $27,000
100 additional telephone interviews per wave @ $6,900
Additional Question/s (please indicate number of questions required) @ $2,900 per question per wave

Member Program: 1 year with 2 waves

One year with 2 waves per year @ $27,000
100 additional telephone interviews per wave @ $6,900
Additional Question/s (please indicate number of questions required) @ $2,900 per question per wave

Member Program: 1 year with 2 waves

One year with 2 waves per year @ $27,000
100 additional telephone interviews per wave @ $6,900
Additional Question/s (please indicate number of questions required) @ $2,900 per question per wave

Member Program: 1 wave only

One wave only @ $17,400
100 additional telephone interviews per wave @ $6,900
Additional Question/s (please indicate number of questions required) @ $2,900 per question per wave

Member Program: 1 wave only

One wave only @ $17,400
100 additional telephone interviews per wave @ $6,900
Additional Question/s (please indicate number of questions required) @ $2,900 per question per wave

Employer Program: 2 years with 4 waves

Two waves per year conducted in February and July over two years @ $40,480
100 additional telephone interviews per wave @ $6,900
Additional Question/s (please indicate number of questions required) @ $1,500 per question per wave

Employer Program: 2 years with 4 waves

Two waves per year conducted in February and July over two years @ $40,480
100 additional telephone interviews per wave @ $6,900
Additional Question/s (please indicate number of questions required) @ $1,500 per question per wave

Employer Program: 2 year with 1 wave per year

Two years with one wave per year @ $20,700
100 additional telephone interviews per wave @ $6,900
Additional Question/s (please indicate number of questions required) @ $1,500 per question per wave

Employer Program: 2 year with 1 wave per year

Two years with one wave per year @ $20,700
100 additional telephone interviews per wave @ $6,900
Additional Question/s (please indicate number of questions required) @ $1,500 per question per wave

Employer Program: 1 year with 2 waves

One year with 2 waves per year @ $20,700
100 additional telephone interviews per wave @ $6,900
Additional Question/s (please indicate number of questions required) @ $1,500 per question per wave

Employer Program: 1 year with 2 waves

One year with 2 waves per year @ $20,700
100 additional telephone interviews per wave @ $6,900
Additional Question/s (please indicate number of questions required) @ $1,500 per question per wave

Employer Program: 1 wave only

One wave only @ $12,500
100 additional telephone interviews per wave @ $6,900
Additional Question/s (please indicate number of questions required) @ $1,500 per question per wave

Employer Program: 1 wave only

One wave only @ $12,500
100 additional telephone interviews per wave @ $6,900
Additional Question/s (please indicate number of questions required) @ $1,500 per question per wave

Ongoing online member survey – Would you like to add this to your program?*

Yes
No

Ongoing online member survey *

One year (8 monthly waves) @ $20,000
One year (4 bi-monthly waves) @ $12,000

Custom questions – Would you like to add custom closed questions @ $1,000 each?*

Yes
No

How many custom questions would you like?*

Is your Fund a member of FEAL?*

Yes
No

(FEAL Members will have a 5% discount applied to your total program costs)

Please note:

Fees for 2021 to be invoiced in full upon registration, with 2022 fees to be invoiced in December 2021. Fee covers cost of interviews undertaken by telephone, online surveys, insights reports, access to online dashboard reporting and registration for two attendees at annual forum. By signing this Registration Form you are agreeing to participate in the CSBA FEAL CX Benchmarking program and agree to abide by the terms and conditions outlined as well as CSBA standard Terms and Conditions. A refund or credit of 50% will be provided for withdrawal from program only with more than 90 days notice prior to interviewing in writing.

Please check the box below if you have read and understood:
a. Participant Agreement and Undertaking
b. Data Requirements
c. CSBA Terms and Conditions

I have read and understood all the documents

Please check the box to indicate that you are authorised to represent your organisation and agree to comply with the points and principles as well as all requirements and policies outlined in this registration form. If you have any concerns, kindly select the second option and a CSBA representative will be in touch with you over the next two days.*

Yes
Not sure, would like to discuss
No

2021 - 2022 CSBA FEAL Superannuation CX Benchmarking Program

Registration Form

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