Sales Enquiry
How did you reach this page/Visit ITQAN website?	ITP CPI Email Campaign Word of Mouth Search engines (Google, Yahoo, etc.) If other, please specify
Name
Functional Title
Phone
Email
Company Name
What is your company's primary business/industry?	Advertising Agriculture Airline - Aerospace - Aviation Apparel - Textile Architecture - Building Art - Photography - Journalism Automotive - Motor Vehicles - Parts Banking - Financial Services Biotechnology Broadcasting - Radio - TV Building Materials Construction Computer Hardware Computer Software Consulting Consumer Products Education - Teaching - Administration Electronics Employment - Recruiting Energy - Utilities - Gas - Electric Entertainment Environmental Food Government - Civil Service Healthcare - Health Services Hospitality Hotel - Resort HVAC Import - Export Industrial Insurance Internet - ECommerce Law Enforcement - Military Legal Manufacturing Merchandising Mortgage Not for Profit - Charitable Office Equipment Oil Refining - Petroleum - Drilling Other Great Industries Packaging Pharmaceutical Printing - Publishing Public Relations - Fund Raising Real Estate - Property Mgt Restaurant Retail Recreation Semiconductor Telecommunications Training Transportation Travel
Select desired solution	e - government Health Informatics Infrastructure CKM Solutions CRM Solutions ERP Solutions e- security & Networking Others
Please Describe Desired Solution
What is preferred platform?	Windows Unix Others
What role do you play in the purchashing decision?	Decision maker Influencer Recommender Buyer Information Gathering Other
What is your purchase timeframe?	1 - 30 days 30 - 60 days 60 + days
Has a budget been approved for this solution?	Yes No Dont Know
What is the number of people that will be using this solution?	0 - 5 5 - 20 20 - 50 50 - Above
Additional Comments