Name

Surname

Cellphone

Email Address

Area

Business

Type of installation Type of installation New installation Adding to an existing system

How old is your existing system?

Point of sale or cash registers? Point of sale or cash registers? Point of Sale Cash Registers

Number of back office computers?

Type of business? Type of business? Butchery Restaurant/Canteen Supermarket Liquor Store Other

Type of scanner Type of scanner Hand out Desk mount

Drawer Drawer Five note drawer Four note drawer

Screen Screen Touch screen Non-touch screen

Receipt printers Receipt printers Serial USB

How many points?

Do you require installation? Do you require installation? Yes No

Can we offer additional add-ons? Can we offer additional add-ons? Yes No

Notes