2022 Local Government Customer Experience Benchmarking Program Registration Form

Registration Form

Council Name*

Contact Person's Details*

First Name Last Name

Position*

Department*

Phone No.*

Email*

CXB Program Options

Which program option would you like to register for?

Entry level Program
Advanced Program
Premium Program
Not sure, would like to discuss

Do you wish to add an extra 100 telephone surveys along with the selected program in the previous section?

Yes
No

Pulse Survey Options

Which waves would you like to register for?

Pulse 1 (Apr - Jun)
Pulse 2 (Jul - Sep)
Pulse 3 (Oct - Dec)
Not sure, would like to discuss
Not interested

Payment details: Participating councils will be invoiced 50% on registration, and the final 50% upon delivery of the selected Reporting. All prices are + GST

Any Additional Requirements:

Submit Form

Please check the box below if you have read, understood and agree with*:
a. CSBA Terms and Conditions
b. CSBA Privacy Policy

I have read, understood and agree with all the documents

2022 Local Government CX Benchmarking Registration Form

Registration Form

CXB Program Options

Pulse Survey Options

Submit Form

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