REQUEST SERVICES. Name * First Name Last Name Work Position/Title Email * Phone (###) ### #### Business/Organization Name * Department Industry * Businesses College/University Government Entity Individual Non-Profit Website * http:// Address Address 1 Address 2 City State/Province Zip/Postal Code Country Company/ Department Size * Core Function Requested * Brand Managemet Consulting Audit and Assessment Crisis Management Risk Management Innovation and Design How did you hear about us? * Email Marketing Internet Search Newspaper/Publication Advertisement Professional Network Referral Social Media Other Briefly describe your request By submitting this form, you acknowledge receipt of and agree to BSquare Advisors, LLC's Terms and Use and Privacy Policy. (www.bsquareadvisors.com/privacy-policy) * Yes, I agree. Thank you!