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1

What stage is your business in?* This field is required.

New / Just Starting

Open & Operating

Planning to Launch Soon

Expanding an Existing Business

Other

2

Could you please provide a brief description?

3

Which industry does your business operate in?* This field is required.

Retail Store

Restaurant (Food/Drink)

Special Store

Other

4

Could you please provide a brief description?

6

Could you please provide a brief description?

8

Could you please provide a brief description?

10

Could you please provide a brief description?

12

Could you please provide a brief description?

13

How much revenue do you currently earn or anticipate earning each month?

Less than $10,000

$10,000 - $20,000

$20,000 - $40,000

$40,000 - $80,000

More than $80,000

Not sure

14

Could you please provide a brief description?

15

When do you need your new POS system? * This field is required.

As soon as possible

Within 1–2 weeks

Within a month

Within 2-3 months

Not sure

16

Could you please provide a brief description?

17

Are you interested in Business Intelligence solutions for your business?* This field is required.

Yes

No

Not sure

18

Would you like help setting up a credit card payment system for your business?* This field is required.

Yes

No

Not sure

19

Could you please provide a brief description?

20

What's your name?* This field is required.

First Name

Last Name

21

Phone Number

Area Code

Phone Number

22

E-mail* This field is required.

example@example.com

23

Company or Organization name

24

Where will the solution be installed? (ZIP code)

This helps us provide an accurate quote in your area.

25

Would you like to provide any additional information or comments about your business?

Yes

No

26

Additional information or comments about your business (optional)