Blue Brain Application Form
Help us understand your needs so that we can serve you and your organization best. Once submitted, we will schedule a Zoom call to discuss further.
Name *
Your answer
Email Address *
Your answer
Phone (Whatsapp number preferred) *
Your answer
What industry are you in? *
Your answer
What is your annual budget for a platform like this? *
Your answer
Within what time frame do you require your new website/ portal to be operational? *
Your answer
What is your primary use for the platform? *
Your answer
Give the location of your users *
Your answer
Please list your needs for the platform (Features etc) *
Your answer
Do you require tech support for your users? (This is in addition to the standard support we provide in case you do not have a dedicated technical team/person). *
Your answer
Please give the approximate number of users for your platform. *
Your answer
If applicable, what stands out to you about the Blue Brain platform? *
Your answer
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