Request Information
First Name:
Last Name:
Address 1:
Address 2:
City:
State / Province:
Zip:
Country:
Title:
Company Name:
Phone:
E-mail:
Fax:
How did you hear about about us:
(Select one) I have your product(s) Trade show Web search Advertisement Word of mouth Referral by dealer/distributor Referral by contractor/installer Other
Your inquiry’s level of attention
(Select one) 1- General information inquiry 2 - Normal Response Time requested - Within a week is sufficient 3- Somewhat urgent- Please respond within a few days 4- Urgent request
Comments and Questions:
Information requested on the following product(s):
i-nHANCE Small Business
i-nHANCE Financial Management System
i-nHANCE Utility Solutions
How to send requested information:
Send product literature by mail
Would like a web demo
Have a salesperson contact me
Type of services provided (metered & non-metered):
Electric
Water
Gas
Sewer
Garbage
Other
Number of customers /meters serviced:
Cycle Billing:
Yes
No
Billing Period:
Monthly
Quarterly
Current Billing Software
Number of users:
Current Hardware:
Current Financial Software
Expected time frame to purchase:
1 Month
3 Months
6 Months
1 Year or more
Expected time frame for system implementation:
