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Wincollect Product Inquiry

First Name*
Please let us know your first name.

Last Name*
Please provide your last name.

Company Name*
Please provide your company name.

Country:
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Position*
What's your Position in the company?

Your Email*
Please provide your email address.

Web URL*
Please enter your website URL

Phone*
What's your phone number?

Mobile (Cell)*
Please provide your mobile (cell phone) number

Is there a date you would prefer we contact you on?
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(dd/mm/yyyy)

Is there another person involved in the project?
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Second Contact Information

First Name
Please let us know your first name.

Last Name
Please provide your last name.

Position
What's your Position in the company?

Your Email
Please provide your email address.

Phone
What's your phone number?

Mobile
Please provide your mobile (cell phone) number

Business Information

Business Type:*
Please select your business type.

Are you acting on behalf of another company?
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More Info:
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Industry:
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Your Industry:
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Project Timeframe:
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How many staff will be using the system?*
Enter number of users

Tell Us About Your Current Systems

We are currently using:*
What software are you currently using?

Our reason for looking at a new system is: 
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Our Server O/S is:
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Our Workstation O/S is:
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How did you hear about us?

I heard about you via

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Web Search:
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Industry Link?
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Referred by Advertisement (name)?
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Final Comments*
Please let us know your message.

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