Credit Counseling Software, Debt Management & Debt Settlement Software, Debt Negotiation & Arbitration Software

request Details

Question #1:

How would you like to be Contacted?

Call Me
Email Me
Send Me Info Packet by Mail

Question #2:

Would you like to set up an Online Demo?

Yes
Not Sure
Not at this time

Question #3:

Would you like information about our:

Credit Counseling Software (CS7)
Debt Settlment Software (DS7)
Both

Question #4:

Do you have any specific questions you would like us to address or comments?

CONTACT INFORMATION

Contact Name:

Agency/Company Name:

Title:

Phone:

ext

Fax:

Email:

Web Site Address:

Address:

City:

State/Province:

Zip/Postal:

Do you have the authority to purchase this software for you agency?

Yes No

If no, provide the name of the person who does:

Phone Number & Extension:

ext

AGENCY INFORMATION

How would you classify
your agency?
(Select ALL that apply)

Credit Counseling
Debt Settlement
Debt Consolidation
Debt Education Center
Other Financial Institution

How long has your company been in business?

< 1 year
1 to 4 years
5 to 10 years
> 10 years

Approximately how many active clients does your agency currently service?

1-500
500-1,000
1,000-5,000
5,000-10,000
10,000-50,000
50,000+

What is your current growth expectation?

# of Users:

# of Computers:

# of Servers:

System INFORMATION

What DMP Software are you currently using to run your operation?

How satisfied are you with your current DMP Software?

very unsatisfied
unsatisfied
satisfied
very satisfied

What major functionality would you like to have in place that you currently do not have?

Will your existing database require conversion?

Yes No

Will you need to purchase a Creditor Database?

Yes No

What is your expected time frame for the implementation of a new software application?

< 1 month
1 to 3 months
4 to 12 months
> 1 year

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