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Information Form

 

Thank You for taking the time to fill out this form. At this stage, it will greatly help both of us in determining your company's needs and requirements. Please fill out this form as best you can. If you are unsure about any of the questions, either leave it blank or select "Unsure", where appropriate.

We value your privacy. Birdwell.com will not share any information submitted herein to any other party.

 

*All Fields Are Required


--Primary Contact Information--

First Name*
Last Name*
Company*
Primary Phone* - - Ext.
Primary Email
Address
Address2
City
State    Zip Code  
What Type Of Company?

   Manufacturing Service
   Distribution Import/Export
Other
Do You Have Multiple Locations?

   Yes No


--Current Accounting System Information--

Which Accounting Package Do You Currently Use?

How Many Users Do You Currently Have With Your System?

   1 - 5 6 - 10 
   11 - 20  > 20
Unsure
What Operating System Do You Currently Use?

   Windows 95 Windows 98 
   Windows 2000 Unix(es)
Unsure
What Is Most Lacking With Your Current System?

  


--Projected Accounting System Information--

Which Accounting System Are You Interested In?

   MAS 90 MAS 200 
   MAS 500
Unsure
How Many Users Will Be Using The New System?

   1 - 5 6 - 10 
   11 - 20  > 20
Unsure
Are You Also Interested In CRM Integration, Now Or In The Future?

   Yes No 
Unsure
What Is The Approximate "Knowledge Level" Of Your Users?

   Low Moderate
   High Very High
Unsure
What Is Your Approximate Time Frame For Deployment, In Weeks?

   2 - 4 5 - 8
   9 - 16 > 16
Unsure
What Is Your Approximate Budget For Your New System?

   < $10K $11K - $20K
   $21K - $50K $51K - $100K
$101K - $200K > $200K
Unsure
Do You Anticipate A Hardware Upgrade With Your New System?

   Yes No 
Unsure
Will You Require E-Commerce Integration?

   Yes No 
Unsure
Do You Currently Have A Web Site?

    Yes No
If Yes, What Is The URL?

   
Are There Any Special Requirements Or Issues That Concern You?

  
     
That's It! Thank You very much for your interest and for taking the time to fill out this form. We look forward to discussing your requirements in detail. All information submitted to Birdwell.com will be kept strictly confidential and will not be shared with any other parties.
     

   

 


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