Personal Information
Title *Contact name (First and Last please)
*Email address *Best contact phone number
Best day(s) and time(s) to contact
Company Infomation
*Company / Business name
Number of employees
Business type
Company Address
Hours of operation
Facilities required
Number of outlets
1 - 2
2 - 4
5 - 9
10 - 29
30+
HardwareYour Estimated Requirements
Networks
Maintenance and Support requirements
Do you have an existing POS system
None
Cash registers
PC POS system
Manufacturers name of Cash register or Name of PC POS system |
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How long have you had your current POS system
Less Than 1 Year
2 Years
3 Years
4 Years
More Than 4 Years
Buying timeframe
Now
3 Months
6 Months
12 Months
More Than 12 Months
Additional needs or requirements
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