INFO REQUEST FORM Use this form to request further information on any software or hardware seen on our web site. In order to ensure you will receive the information requested, please complete all the fields in this page and press the 'Send Information' button. You can also print out the completed form and fax it to us at 877-690-8954. If you would like to contact us in another way, please refer to our 'Contact Us' page. Your Contact Information     Company First Name Last Name Phone Number Fax Number Address 1 Address 2 City State State or Province ______________________________ Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Labrador Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory Zip Email     Business Information     Total Number of locations (Stores, Plants, etc.)     Are you currently computerized? If so, which system? yes no       How many terminals are you interested in?     Where did you hear about us? Please Choose One: ------------------- American Dry Cleaner International Fabricare Institute National Clothesline Dry Cleaning News Equipment Vendor Clean Show Regional Trade Show Internet Search Western Dry Cleaner Referral Other     What features are you most interested in? Centralized Database Delivery Routes Credit Card Processing     Comments/Questions     Best call back time Weekday Mornings Weekday Afternoons Weekday Evenings Weekend Mornings Weekend Afternoons Weekend Evenings