REQUEST DETAILS
How would you
like
Would you like to set
Would you like information about our:
Credit Counseling Software
Do you have any questions you would like
us to
CONTACT
INFORMATION
Contact Name:
Agency/Company Name:
Title:
Phone:
ext
Fax:
E-mail:
Web Site Address:
Address:
City:
State/Province:
Zip/Postal:
Do you have the authority
If no, provide the name
Phone Number:
ext
AGENCY
INFORMATION
How would
you classify
Credit Counseling
How
long has your company been in business?
Approximately
how many active clients does your agency currently
service?
What is
your current
# of Users:
# of Computers:
# of Servers:
SYSTEM INFORMATION
What software are
How satisfied
are you with your current software?
What
major functionality would you like to have in place
that you currently
Will your existing database
require conversion?
Will you
need to purchase a Creditor Database ?
What is your
expected time frame for the implementation of a new
software application?
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