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Contact Information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

         Technology Information:

Do you use any Point of Sale software? Yes No
If yes, which Point of Sale software(s) do you use?

Datatranz  IBS/Elmo  GTS  Mainstreet  Mitchell
Quest  Other

Do you use a fax machine to submit invoices? Yes No

Which computer do you have?

Pentium  Pentium 2  Pentium 3  Pentium 4  Other

Do you own a mobile phone with Internet access? Yes No