CONTACT INFORMATION
*First Name:   *Last Name:
*Company Name:
*Address:
*City:   *State:   *Zip:
Country:
*Work Phone:   Ext:   Cell Phone:   Fax:
*E-Mail:
COMPANY INFORMATION
Company Site Url:
*Number of employees:
*How many technicians do you have on staff:
*How many years have you been in business:
*What is your targeted vertical markert:

*Which of the following best describes your type of business?
 1. Computer Specialty Reseller - Independent store front operations.
2. Application Value Added Reseller - Travel to meet my clients (with no storefront)
3.System Integrator/VAR - Provides integration services from concept to implementation to maintenance, and assumes financial and performance risk for the entire solution.

*Which of the following best describes your POS experience?
 1. None. I want to get into this profitable POS market.
2. Some Experience without Networking. Yes, I have installed up to 10 (Windows based) registers within the last year.
3. Some Experience with Networking. Yes, I have networked 2 or more (Windows NT based) registers within the past year.
4. Moderate Experience. Yes, I have installed more than 11 (Windows based) registers within 1 year
5. Heavy POS Experience. Yes, I have installed many systems including peripherals on a network in Windows or NT.
*Which of the following peripherals have you installed?
Cash Drawer
Pole Display
Mag Stripe Readers
  
HandHeld Scanner
Counter Scanner
Scale Interface
  
Data Collector
Receipt Printer
Report Printer
  
*How did you hear about us:
*How did you find us:

( * Required Fields )