Name (required): First :
Last:
Title:
Organization:
Branch (if applicable):
Address:
City:		Province/State:
Country:		Postal(Zip)Code:
Phone (required):	Local:	Fax:
E-Mail (required):
Web Site:
How did you hear about our product? Newspaper Internet Friend Other
Type of organization: Government Private Home Based Personal Use
Number of people in your organization?: 1-20 20 - 100 100 - 500 500+
Budget for System: Between $1000 - $2500 Between $2,500 - $5,000 Between $5,000 - $15,000 $15,000 and up
What type of system are you interested in? QUEST QRMS Would you require a multi-user LAN system?  (Not implying that you require a single user system). Yes No     If yes, how many concurrent users (users on and using the system at the same time)? How many departments, branches and organizations, will you be maintaining files for? Would you want the files for each department, branch, organization etc. stored in separate directories or one directory? (See Structure Levels and Data Sets for more information on maintaining files for separate departments, branches etc.) One Separate  Would you like to track the Circulation of Files? (i.e. Charging in and Out items and creating Waitlists?) Yes No Would you  like to Bring Forward items? Yes No Would you like to manage Boxes of Files? Yes No Would you like to track individual hard copy documents (such as incoming mail)? Yes No Would you like to manage physical records? Yes No Would you like to manage electronic documents? Yes No
What features would you like the records management system to perform/handle? How are your current records classified/subjected/listed? (numerical/alphanumeric etc)? What type of records management system do you currently have in place? Demonstrations will be held Wednesdays and Fridays or by special request. Please give us 2 approximate times and dates when we can schedule a demo for you. Demonstrations take approximately 1 1/2 hours.