2010 Customer Conference
Request Information
* Firstname:
* Lastname:
* Address1:
Address2:
* City:
* State:
* Zip:
Country:
Title:
Company Name:
* Phone:
* Email:
Fax:
How did you hear about us:
(Select one) I have your product(s) Trade show Web search Advertisement Word of mouth Referral by dealer/distributor Referral by contractor/installer
Level of Attention:
(Select one) General information inquiry Normal Response Time requested - Within a week is sufficientis Somewhat urgent- Please respond within a few days Urgent request
* = Required Comments:
Information requested on the following product(s):
inHANCE Small Business inHANCE Utility Solutions Financial Management System
How to send requested information:
Send Product literature by mail. Would like a web demo. Have a salesperson contact me.
Type of service provided (Metered & non- Metered)
Electric Gas Garbage Water Sewer Other
Number of customers / meters serviced:
Cycle Billing: Yes No
Billing Period: Monthly Quarterly Other
Current Billing Software:
Current Financial Software:
Current Hardware:
Number of Users:
Expected time frame to purchase:
1 Month 3 Months 6 Months 1 Year or More
Expected time frame for system implementation: