Your Company:
We're asking you to share your name and
company name this year just in case we
need more information to understand and
share your question(s).
Your Name:
Your Title:
Telephone:
1.  What services do you provide? Example:  Electric, Gas, Water, Internet, Telephone, etc. List
below.
2.  How many customers do you serve?  Residential / Non-Residential?
3.  What type of payments do you accept?
4.  Have you implemented or enhanced a new process or procedure recently?  If so, please
provide your information below.
Yes
No
5.  What trade communications if any are you signed up for?  Please list below.
6.  Have you or are you going to be sending out an RFI or RFP 2019/2020? If so, for what type of
services?
No
Yes
7.  We have two Utility Only Sessions - open forum available for you.  Please share any questions
you'd like addressed.
8.  Have you identified any trends that have positively or negatively impacted your operation?  If
yes, provide your comments below.
9.  Are mailed payments processed in-house or out-sourced? If in-house, what software do you
use? If out-sourced, what vendor do you use?
Outsourced
In-house
10.  What Customer Information System do you currently use? Is it a Utility package?
11.  Does your company accept payments directly in company local offices, customer service
centers, or with a walk-in bill payment vendor? If vendor, who do you use?
Local Offices
Customer Service Centers
Vendor - walk-in bill pay
12.  Do you accept credit card payments?
Yes
No
12.a Do you use a third-party vendor to provide credit card acceptance?
Yes
No
12.b.  Do you absorb the fee of the credit card or charge the customer? If fee; what is it? Is there a
limit for the amount you can accept?
Yes
What is fee and $ limit?
No
13. Is your company PCI compliant?
Don't know
Yes
No
Conference Attendance Questions
14. Are you staying at the Conference Hotel?  If not, why not?
Yes
If not, why not?
No
15. Will you arrive on Monday and attend the sessions, Exhibit Hall and Social Hour?
Yes
If not, why not?
No
16. Will you be with us on Wednesday evening and join us for breakfast on Thursday, September 19 at 7 AM?
Yes
No
17. Will you be with us for breakfast and the session on Thursday, September 19?
Yes
No
Utility Payment Conference
www.paymentconference.com
2019 Sponsors