INFORMATION REQUEST

We would be pleased to follow-up with you to review your business needs. Fields in red are required.
Name:
Company:
Address:
City:
State:
Zip:
Telephone:		Fax:
E-mail:
Web Site:
Please mail us more information on:
	Consulting Services	Training				Custom Programming
Industry:	Choose One Accounting Advertising Construction Education Electronics Financial Services Food Healthcare Hospitality Human Resources Information Services Insurance Law Manufacturing Medical Office Supplies Public Relations Publishing Real Estate Retail Telecommunications Travel Other (specify)	If Other (Specify):
Annual Revenues?:	Choose One <$1MM $1MM-$10MM $11MM - $50MM $51MM - $250MM $251MM - $500MM Over $500MM	# Employees?:				Choose One 1 - 10 11 - 25 26 - 50 51 - 250 251 - 500 501 - 1,000 Over 1,000
Which areas of your business are you seeking to automate?
Sales	Accounting	Marketing				Customer Service
	Human Resources	Other (specify)
Approx. Timing To Implement		Choose One 60 - 90 Days 3 - 6 Months 6 Months to 1 Year 1 Year +
Additional Comments: